Active NPI
Rebecca L Archer, APRN
- Pediatric Nurse Practitioner
- Orlando, FL
National Provider Identifier
1669841698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN9397475
- Practice address
- 2902 N Orange Ave Ste D
Orlando, FL 32804-4655 - Phone
- (407) 898-4116
- Fax
- (407) 894-1091
- NPI assigned
- Sep 21, 2015
- Last updated
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN9397475 | FL | Primary |
Addresses
Primary practice location
2902 N Orange Ave Ste D
Orlando, FL 32804-4655
Mailing address
2902 N Orange Ave Ste D
Orlando, FL 32804-4655
Phone (407) 898-4116
Other practice location 1
790 Concourse Pkwy S
Suite 110
Maitland, FL 32751-6114
Phone (407) 253-1000 ext. 212
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)
- Enrolled
Interoperability endpoints
- rarcher73335@adventhealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1669841698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2902 N ORANGE AVE STE D",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044655",
"telephone_number": "407-898-4116",
"fax_number": "407-894-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 N ORANGE AVE STE D",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044655",
"telephone_number": "407-898-4116",
"fax_number": "407-894-1091"
}
],
"practiceLocations": [
{
"address_1": "790 Concourse Pkwy S",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Maitland",
"state": "FL",
"postal_code": "327516114",
"country_code": "US",
"telephone_number": "407-253-1000 x212",
"fax_number": "321-397-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARCHER",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN9397475",
"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 Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.