Individual provider Active NPI

Moraima Mora Otero, FNP

  • Home Health Registered Nurse
  • Winter Garden, FL
National Provider Identifier
1538843289
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
9395777 Issued in FL
Practice address
13340 W Colonial Dr Ste 240
Winter Garden, FL 34787-3978
Phone
(407) 534-9952
NPI assigned
Jun 13, 2023
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 9395777 FL Primary

Addresses

Primary practice location

13340 W Colonial Dr Ste 240
Winter Garden, FL 34787-3978

Mailing address

3859 Cabo Rojo Dr
Saint Cloud, FL 34772-8373
Phone (407) 534-9952

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9395777FLMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Olympus Home Care Inc. Current 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, 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": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1538843289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3859 CABO ROJO DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728373",
            "telephone_number": "407-534-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 W COLONIAL DR STE 240",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873978",
            "telephone_number": "407-534-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA OTERO",
        "first_name": "MORAIMA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "9395777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.