Active NPI
Nu Healthcare Inc
- Health Service Clinic/Center
- Kissimmee, FL
National Provider Identifier
1659078749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- NU HEALTHCARE INC
- Practice address
- 1016 Mann St
Kissimmee, FL 34741-4121 - Phone
- (321) 378-3008
- NPI assigned
- Feb 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dianylisse Rivera
- Title
- Ceo
- Phone
- (407) 922-2130
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Clinic/Center | 261Q00000X | |||
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1016 Mann St
Kissimmee, FL 34741-4121
Mailing address
PO Box 423518
Kissimmee, FL 34742-3518
Phone (321) 378-3008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2275657 | Nu Healthcare Inc | Certificate of waiver | Jan 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
1016 Mann St
Kissimmee, FL 34741
Phone (321) 378-3008
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Kissimmee, FL
- NPI 1750341236
-
- General Practice Physician
- Orange City, FL
- NPI 1447754825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708300800000",
"number": "1659078749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 423518",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347423518",
"telephone_number": "321-378-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 MANN ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414121",
"telephone_number": "321-378-3008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NU HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-09",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "DIANYLISSE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "407-922-2130",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.