Individual provider Active NPI

Naomi M Alfonso, ARNP

  • Pediatric Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1649600768
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
9277572 Issued in FL
Practice address
100 W Gore St Ste 405
Orlando, FL 32806-1049
Phone
(321) 841-9340
Fax
(321) 841-9344
NPI assigned
Nov 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 9277572 FL Primary

Addresses

Primary practice location

100 W Gore St Ste 405
Orlando, FL 32806-1049

Mailing address

100 W Gore St Ste 405
Orlando, FL 32806-1049
Phone (321) 841-9340

Other practice location 1

13535 Nemours Pkwy
Orlando, FL 32827-7402
Phone (407) 567-4000

Other practice location 2

6000 Turkey Lake Rd
Suite 205
Orlando, FL 32819-4200
Phone (407) 649-1848

Other practice location 3

6000 Turkey Lake Rd
Suite 205
Orlando, FL 32819-4200
Phone (407) 649-1848

Other identifiers 1

IdentifierTypeStateIssuer
123225900MedicaidFL

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
I20240730003367 FL Practitioner - Nurse Practitioner 3678846771 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9277572FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Child Neurology Center of Orlando, P.a. Past Accepting new patients

Locations

100 W Gore St
Ste 405
Orlando, FL 32806
Phone (321) 841-9340

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

Organizations & group practices 3

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": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1649600768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W GORE ST STE 405",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061049",
            "telephone_number": "321-841-9340",
            "fax_number": "321-841-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GORE ST STE 405",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061049",
            "telephone_number": "321-841-9340",
            "fax_number": "321-841-9344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13535 Nemours Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277402",
            "country_code": "US",
            "telephone_number": "407-567-4000",
            "fax_number": "407-567-5924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Turkey Lake Rd",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328194200",
            "country_code": "US",
            "telephone_number": "407-649-1848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Turkey Lake Rd",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328194200",
            "country_code": "US",
            "telephone_number": "407-649-1848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "NAOMI",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "9277572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123225900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.