Individual provider Active NPI

Agda Barros Damacena

  • Registered Nurse
  • Orlando, FL
National Provider Identifier
1629946322
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN968141 Issued in FL
Practice address
13038 Prairie Meadows Dr
Orlando, FL 32837-6334
Phone
(407) 405-7107
NPI assigned
Oct 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN968141 FL Primary

Addresses

Primary practice location

13038 Prairie Meadows Dr
Orlando, FL 32837-6334

Mailing address

13038 Prairie Meadows Dr
Orlando, FL 32837-6334
Phone (407) 405-7107

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN968141FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1761350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1629946322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13038 PRAIRIE MEADOWS DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376334",
            "telephone_number": "407-405-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13038 PRAIRIE MEADOWS DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376334",
            "telephone_number": "407-405-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARROS DAMACENA",
        "first_name": "AGDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-25",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN968141",
            "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 Oct 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.