Active NPI
Primary Care in the Home, Inc
- Family Nurse Practitioner
- Kissimmee, FL
National Provider Identifier
1568177632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PRIMARY CARE IN THE HOME, INC
- Practice address
- 3098 Eagle Crossing Dr
Kissimmee, FL 34746-3160 - Phone
- (407) 201-2680
- Fax
- (407) 201-2680
- NPI assigned
- Jan 23, 2023
- Last updated
- Jan 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Anthony Otero, APRN
- Title
- Ceo
- Phone
- (954) 548-8735
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
3098 Eagle Crossing Dr
Kissimmee, FL 34746-3160
Mailing address
3098 Eagle Crossing Dr
Kissimmee, FL 34746-3160
Phone (407) 201-2680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016105300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1033400122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674432000000",
"number": "1568177632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3098 EAGLE CROSSING DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463160",
"telephone_number": "407-201-2680",
"fax_number": "407-201-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3098 EAGLE CROSSING DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463160",
"telephone_number": "407-201-2680",
"fax_number": "407-201-2680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE IN THE HOME, INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A",
"authorized_official_last_name": "OTERO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-548-8735",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016105300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
- Ryan Priemer
- Jessica Toinette Priester
- Adriana Prieto, PT
- Valerie Prieto
- Primary Care & Aesthetics of Central Florida LLC (Medi-Sthetic)
- Primary Care Medical Services of Poinciana Inc (Osceola Community Health Services @ BVL)
- Primary Care Medical Services of Poinciana Inc (Osceola Community Health Services at Fortune Rd)
- Primary Care Medical Services of Poinciana Inc (Osceola Community Health Services)
- Primary Care Medical Services of Poinciana Inc (Osceola Community Health Services)
- Primary Care Medical Services of Poinciana Inc (Osceola Community Health Services Mobile Unit)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.