Active NPI
Etta Laya Rich, ARNP-C
- Adult Health Nurse Practitioner
- Orlando, FL
National Provider Identifier
1598906232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP1680082
- Practice address
- 120 E Par St
Orlando, FL 32804-3943 - Phone
- (407) 770-2002
- Fax
- (407) 770-1769
- NPI assigned
- Mar 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP1680082 | FL | Primary |
Addresses
Primary practice location
120 E Par St
Orlando, FL 32804-3943
Mailing address
533 W King St
Orlando, FL 32804-4421
Phone (407) 342-8779
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1680082 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236643200000",
"number": "1598906232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 W KING ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044421",
"telephone_number": "407-342-8779",
"fax_number": "407-843-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E PAR ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328043943",
"telephone_number": "407-770-2002",
"fax_number": "407-770-1769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICH",
"first_name": "ETTA",
"middle_name": "LAYA",
"name_prefix": "Ms.",
"credential": "ARNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-10",
"last_updated": "2009-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP1680082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.