Individual provider Active NPI

Deanna Todorovic, ARNP, CPNP-PC

  • Pediatric Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1558868596
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9368424 Issued in FL
Practice address
2501 N Orange Ave Ste 589
Orlando, FL 32804-4647
Phone
(407) 303-1300
Fax
(407) 303-1301
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP9368424 FL Primary

Addresses

Primary practice location

2501 N Orange Ave Ste 589
Orlando, FL 32804-4647

Mailing address

2501 N Orange Ave Ste 589
Orlando, FL 32804-4647
Phone (407) 303-1300

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9368424OtherFLNURSE PRACTITIONER LICENSE

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
I20200319002050 FL Practitioner - Nurse Practitioner 4688002942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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)

2501 N Orange Ave
Suite 589
Orlando, FL 32804-4647
Phone (407) 303-2080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9368424FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Mar 2, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 2, 2020 Accepting new patients
Growing Together Pediatrics, LLC Past Accepting new patients
Growing Together Pediatrics, LLC PastSince Jul 4, 2021 Accepting new patients

Locations

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

2501 N Orange Ave
Ste 589
Orlando, FL 32804
Phone (407) 303-1300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDBCA
  • Direct secure messaging: dtodorovic74059@adventhealth.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1558868596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 589",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044647",
            "telephone_number": "407-303-1300",
            "fax_number": "407-303-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 589",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044647",
            "telephone_number": "407-303-1300",
            "fax_number": "407-303-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODOROVIC",
        "first_name": "DEANNA",
        "credential": "ARNP, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9368424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "ARNP9368424",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.