Active NPI
Patricia I Wahrenberger, ARNP BC
- Family Medicine Physician
- Clermont, FL
National Provider Identifier
1487724365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ARNP 2789332
- Practice address
- 1135 Lake Ave
Clermont, FL 34711 - Phone
- (352) 394-4035
- Fax
- (352) 241-0896
- NPI assigned
- Nov 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ARNP 2789332 | FL | Primary |
Addresses
Primary practice location
1135 Lake Ave
Clermont, FL 34711
Mailing address
PO Box 121009
Clermont, FL 34712
Phone (351) 394-4035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2789332 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Mazer,M.D.,P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Orlando, FL
- NPI 1043296189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487724365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 121009",
"city": "CLERMONT",
"state": "FL",
"postal_code": "34712",
"telephone_number": "351-394-4035",
"fax_number": "352-241-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 LAKE AVE",
"city": "CLERMONT",
"state": "FL",
"postal_code": "34711",
"telephone_number": "352-394-4035",
"fax_number": "352-241-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHRENBERGER",
"first_name": "PATRICIA",
"middle_name": "I",
"credential": "ARNP BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ARNP 2789332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.