Individual provider Active NPI

Rebecca Shindoll

  • Family Nurse Practitioner
  • Celebration, FL
National Provider Identifier
1477164226
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008493 Issued in FL
Practice address
410 Celebration PL Ste 300
Celebration, FL 34747-5434
Phone
(407) 894-4474
Fax
(407) 894-7032
NPI assigned
Aug 14, 2020
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11008493 FL
Family Nurse Practitioner 363LF0000X 11008493 FL
Family Nurse Practitioner 363LF0000X APRN11008493 FL Primary

Addresses

Primary practice location

410 Celebration PL Ste 300
Celebration, FL 34747-5434

Mailing address

1222 S Orange Ave FL 4
Orlando, FL 32806-1215
Phone (321) 841-6444

Other practice location 1

1745 N Mills Ave
Orlando, FL 32803-1876
Phone (407) 841-7151

Other practice location 2

1222 S Orange Ave Fl 4
Orlando, FL 32806-1215
Phone (321) 841-6444

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200903002306 FL Practitioner - Nurse Practitioner 1153749817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

400 Celebration PL
Celebration, FL 34747-4970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11008493FLMDFamily Nurse Practitioner
APRN11008493FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince May 8, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince May 8, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

410 Celebration Pl
Ste 300
Kissimmee, FL 34747
Phone (321) 939-3300

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

1222 S Orange Ave
Fl 4
Orlando, FL 32806
Phone (321) 841-7700

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rshindoll127637@adventhealth.direct-ci.com
  • Direct secure messaging: rshindoll167457@orlandohealth.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1477164226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE FL 4",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "321-841-6444",
            "fax_number": "407-650-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 300",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475434",
            "telephone_number": "407-894-4474",
            "fax_number": "407-894-7032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1745 N Mills Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031876",
            "country_code": "US",
            "telephone_number": "407-841-7151",
            "fax_number": "407-425-2768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1222 S Orange Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061215",
            "country_code": "US",
            "telephone_number": "321-841-6444",
            "fax_number": "407-650-1307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINDOLL",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11008493",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008493",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.