Active NPI
Luisa Fernanda Alzate Benjumea
- Critical Care Medicine Nurse Practitioner
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- APRN11012592
- Practice address
- 1605 W Fairbanks Ave
Winter Park, FL 32789-4603 - Phone
- (407) 845-8356
- Fax
- (407) 845-8357
- NPI assigned
- May 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11012592 | FL | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | APRN11012592 | FL | Primary |
Addresses
Primary practice location
1605 W Fairbanks Ave
Winter Park, FL 32789-4603
Mailing address
1605 W Fairbanks Ave
Winter Park, FL 32789-4603
Phone (407) 845-8356
Other practice location 1
86 W Underwood St
Orlando, FL 32806-1110
Phone (321) 843-5270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112247600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11012592 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
86 Underwood St
Orlando, FL 32806
Phone (321) 841-5142
1605 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 845-8356
Interoperability endpoints
- lalzate432114@adventhealth.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1477127157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 W FAIRBANKS AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894603",
"telephone_number": "407-845-8356",
"fax_number": "407-845-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 W FAIRBANKS AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894603",
"telephone_number": "407-845-8356",
"fax_number": "407-845-8357"
}
],
"practiceLocations": [
{
"address_1": "86 W Underwood St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061110",
"country_code": "US",
"telephone_number": "321-843-5270",
"fax_number": "321-843-5177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALZATE BENJUMEA",
"first_name": "LUISA",
"middle_name": "FERNANDA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "11012592",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "FL",
"license": "APRN11012592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112247600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.