Individual provider Active NPI

Kelly Reyes, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Winter Garden, FL
National Provider Identifier
1528302999
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9197840 Issued in FL
Practice address
1562 Loch Avich Rd
Winter Garden, FL 34787-4701
Phone
(407) 595-5833
NPI assigned
Nov 25, 2012
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9197840 FL Primary

Addresses

Primary practice location

1562 Loch Avich Rd
Winter Garden, FL 34787-4701

Mailing address

1562 Loch Avich Rd
Winter Garden, FL 34787-4701
Phone (407) 595-5833

Other names 1

  • Kelly Im Former name

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
I20130417000651 FL Practitioner - Nurse Practitioner 7618113614 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Emergency Medicine Doctors, LLCGroup PAC ID 8224352919, 88 clinicians

Practice addresses (Care Compare)

113 N Orlando Ave
Winter Park, FL 32789-3675
Phone (407) 801-8400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carespot of Orlando Hsi Urgent Care LLC CurrentSince Apr 1, 2018 Accepting new patients
Emergency Physicians of Central Florida LLP CurrentSince Mar 1, 2013 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Oct 8, 2014 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Oct 8, 2014 Accepting new patients
Guidewell Emergency Medicine Doctors, LLC CurrentSince Dec 20, 2022 Accepting new patients
Guidewell Emergency Medicine Doctors, LLC CurrentSince Apr 6, 2025 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Oct 8, 2014 Accepting new patients
Transitions Healthcare LLC CurrentSince Oct 3, 2023 Accepting new patients
Solantic/South Florida, LLC CurrentSince Oct 8, 2014 Accepting new patients
My Home Doctor, LLC Past Accepting new patients

Locations

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

3840 State Road 436
Ste 1000
Apopka, FL 32703
Phone (407) 478-3202

15500 Roosevelt Blvd
Ste 101
Clearwater, FL 33760
Phone (727) 214-4622

1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

2555 S Kirkman Rd
Orlando, FL 32811
Phone (407) 362-2030

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

113 N Orlando Ave
Winter Park, FL 32789
Phone (407) 801-8400

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

115 Eastpark Dr
Ste 300
Brentwood, TN 37027

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1353801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1528302999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 LOCH AVICH RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874701",
            "telephone_number": "407-595-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 LOCH AVICH RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874701",
            "telephone_number": "407-595-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "KELLY",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-25",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9197840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "IM",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.