Individual provider Active NPI

Marie Huguette Sherly Theodore Felder, ARNP

  • Family Nurse Practitioner
  • Eustis, FL
National Provider Identifier
1659778538
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9247173 Issued in FL
Practice address
2300 Kurt St
Eustis, FL 32726-6169
Phone
(352) 589-2501
Fax
(352) 589-4041
NPI assigned
Nov 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9247173 FL Primary

Addresses

Primary practice location

2300 Kurt St
Eustis, FL 32726-6169

Mailing address

2300 Kurt St
Eustis, FL 32726-6169
Phone (352) 589-2501

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
I20150330000388 FL Practitioner - Nurse Practitioner 5092032144 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9247173FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC CurrentSince Jul 1, 2022 Accepting new patients
Rmed LLC CurrentSince Jul 1, 2022 Accepting new patients
Muqeet Siddiqui, MD, LLC CurrentSince Jun 1, 2021 Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince Apr 20, 2021 Accepting new patients

Locations

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

724 Charles St
Orlando, FL 32808
Phone (321) 239-4413

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Interoperability endpoints

  • Direct secure messaging: mtheodorefelder5099552@adventhealth.direct-ci.com

Organizations & group practices 4

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": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1659778538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 KURT ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266169",
            "telephone_number": "352-589-2501",
            "fax_number": "352-589-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 KURT ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266169",
            "telephone_number": "352-589-2501",
            "fax_number": "352-589-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODORE FELDER",
        "first_name": "MARIE",
        "middle_name": "HUGUETTE SHERLY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9247173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.