Individual provider Active NPI

Treece Lee Samuels, APRN

  • Family Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1619419108
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9310405 Issued in FL
Practice address
2100 Ocoee Apopka Rd Ste 110
Apopka, FL 32703-9210
Phone
(407) 609-7395
Fax
(407) 609-7297
NPI assigned
Nov 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9310405 FL
Family Nurse Practitioner 363LF0000X APRN9310405 FL Primary

Addresses

Primary practice location

2100 Ocoee Apopka Rd Ste 110
Apopka, FL 32703-9210

Mailing address

2100 Ocoee Apopka Rd Ste 110
Apopka, FL 32703-9210
Phone (407) 609-7395

Other practice location 1

400 Celebration Pl Ste A360
Kissimmee, FL 34747-4970
Phone (407) 303-4829

Other practice location 2

12280 Lake Underhill Rd
Orlando, FL 32825
Phone (866) 389-2727

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
I20181115003056 FL Practitioner - Nurse Practitioner 4284915786 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9310405FLMDFamily Nurse Practitioner
ARNP9310405FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jan 6, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 6, 2020 Accepting new patients

Locations

2100 Ocoee Apopka Rd
Ste 110
Apopka, FL 32703
Phone (407) 303-1812

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

400 Celebration Pl
Ste A360
Kissimmee, FL 34747
Phone (407) 303-4829

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

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: treece.samuels.1@14883.direct.athenahealth.com
  • Direct secure messaging: tsamuels74037@adventhealth.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1619419108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 OCOEE APOPKA RD STE 110",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327039210",
            "telephone_number": "407-609-7395",
            "fax_number": "407-609-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 OCOEE APOPKA RD STE 110",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327039210",
            "telephone_number": "407-609-7395",
            "fax_number": "407-609-7297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Celebration Pl Ste A360",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347474970",
            "country_code": "US",
            "telephone_number": "407-303-4829",
            "fax_number": "407-303-4851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12280 Lake Underhill Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32825",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "TREECE",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9310405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9310405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.