Individual provider Active NPI

Odelaidys Portela Semanat

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1669207692
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035123 Issued in FL
Practice address
1140 S Semoran Blvd Ste C
Orlando, FL 32807-1459
Phone
(407) 408-8859
NPI assigned
Sep 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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 11035123 FL Primary

Addresses

Primary practice location

1140 S Semoran Blvd Ste C
Orlando, FL 32807-1459

Mailing address

1140 S Semoran Blvd Ste C
Orlando, FL 32807-1459
Phone (689) 808-0762

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
I20250521001305 FL Practitioner - Nurse Practitioner 8123547338 Practice locations: Orlando, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035123FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LK Health Care Services LLC CurrentSince Dec 7, 2025 Accepting new patients

Organizations & group practices 1

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": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1669207692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S SEMORAN BLVD STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071459",
            "telephone_number": "689-808-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S SEMORAN BLVD STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071459",
            "telephone_number": "407-408-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTELA SEMANAT",
        "first_name": "ODELAIDYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.