Individual provider Active NPI

Juliana D Avila, ARNP

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1588055990
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9268772 Issued in FL
Practice address
110 Underwood St
Orlando, FL 32806-1139
Phone
(407) 422-3790
Fax
(407) 425-4358
NPI assigned
Feb 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60565190 WA
Primary Care Nurse Practitioner 363LP2300X APRN9268772 FL
Primary Care Nurse Practitioner 363LP2300X AP60565190 WA
Adult Health Nurse Practitioner 363LA2200X APRN9268772 FL Primary

Addresses

Primary practice location

110 Underwood St
Orlando, FL 32806-1139

Mailing address

110 Underwood St
Orlando, FL 32806-1139
Phone (407) 422-3790

Other practice location 1

2500 Racquet Ln Ste 100
Yakima, WA 98902-6114
Phone (509) 249-3900

Other identifiers 1

IdentifierTypeStateIssuer
2044867MedicaidWA

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
I20220909002579 FL Practitioner - Nurse Practitioner 0042523797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

110 W Underwood St
Suite a
Orlando, FL 32806-1139
Phone (407) 422-3790

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60565190WAMDNurse Practitioner
APRN9268772FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2024 Accepting new patients

Locations

110 Underwood St
Ste A
Orlando, FL 32806
Phone (407) 422-3790

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

110 Underwood St
Orlando, FL 32806
Phone (407) 422-3790

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1423353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1588055990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 UNDERWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061139",
            "telephone_number": "407-422-3790",
            "fax_number": "407-425-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 UNDERWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061139",
            "telephone_number": "407-422-3790",
            "fax_number": "407-425-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Racquet Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989026114",
            "country_code": "US",
            "telephone_number": "509-249-3900",
            "fax_number": "509-573-9539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILA",
        "first_name": "JULIANA",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-08",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60565190",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9268772",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP60565190",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9268772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044867",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.