Trischaday Kimberley Demetrius, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11002333 Issued in FL

Practice address

4701 Old Canoe Creek Rd # 702019
Saint Cloud, FL 34769-1400

Phone

(407) 791-8732

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Royalty Beauty & Recovery

  • Recovery Care Clinic/Center
  • Saint Cloud, FL
  • NPI 1942875539
  NPD Authorized official

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1508412644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 OLD CANOE CREEK RD # 702019",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691400",
            "telephone_number": "407-791-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OLD CANOE CREEK RD # 702019",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691400",
            "telephone_number": "407-791-8732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Orlando Epilepsy Center",
            "address_2": "226 W Michigan street",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32806",
            "country_code": "US",
            "telephone_number": "407-704-8380",
            "fax_number": "407-704-8572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMETRIUS",
        "first_name": "TRISCHADAY",
        "middle_name": "KIMBERLEY",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11002333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cinthia Damari Delgado
• Deborah Delgado
• Jaime Delgado, O.D.
• Kathryn Delong, LMHC
• Lisa Marie Delvalle, PH.D
• Brunella Denegri
• Dental Artistry PLLC
• Anje Thomas Deocampo, PHARMD
• Amit Desai, MD
• Sunil S Desai, RPH

• Nurse Practitioner in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.