Spektrum Health

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SPEKTRUM HEALTH

Practice address

5205 S Orange Ave Ste 110
Orlando, FL 32809-3067

Phone

(407) 454-1363

Fax

(321) 247-7391

NPI assigned

Nov 15, 2018

Last updated

Jan 26, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joseph Anthony Knoll, APRNNPI 1023418126

Title

Ceo

Phone

(407) 454-1363

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Anthony Knoll, MSN, ARNP

  • Nurse Practitioner
  • Orlando, FL
  • NPI 1023418126
  Medicare reassignment Care Compare group NPD Authorized official
• Nga Denise Morgan, APRN

  • Nurse Practitioner
  • Orlando, FL
  • NPI 1790329811
  Medicare reassignment Care Compare group NPD
• Kimberly Keech, FNP-BC, APRN

  • Family Nurse Practitioner
  • Apollo Beach, FL
  • NPI 1770190530
  Medicare reassignment NPD
• Jason Lee Anderson, APRN

  • Nurse Practitioner
  • Orlando, FL
  • NPI 1235696915
  NPD (past)
• Michael Keith Mueller, LMHC

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1912859190
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1467921767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 S ORANGE AVE STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328093067",
            "telephone_number": "407-454-1363",
            "fax_number": "321-247-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 S ORANGE AVE STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328093067",
            "telephone_number": "407-454-1363",
            "fax_number": "321-247-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEKTRUM HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-454-1363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "0WDSQ",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015139500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1061098",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Speech Language Communication Specialists LLC
• Speech Steps
• Speech With Care Inc.
• Speedy Labz LLC
• Charliana Speights
• Jacqueline Y Spence-Thompson, ARNP, FNP
• Alicia Spence
• Gary Brewster Spence, DDS
• Kenrick Anthony Spence I, M.D., F.A.C.S.
• Jesusa T Spencer-Dejesus

• Primary Care Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.