Individual provider Active NPI

Teresa Emenecker, FNP, MSN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1689123093
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9424121 Issued in FL
Practice address
6000 Turkey Lake Rd Ste 205
Orlando, FL 32819-4206
Phone
(407) 649-1848
NPI assigned
Sep 26, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 ARNP9424121 FL Primary

Addresses

Primary practice location

6000 Turkey Lake Rd Ste 205
Orlando, FL 32819-4206

Mailing address

9796 Pecan Hickory Way
Orlando, FL 32832-3605
Phone (480) 766-8183

Other practice location 1

11886 Lake Underhill Rd
Orlando, FL 32825-4436
Phone (407) 447-7773

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)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
ARNP9424121FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Child Neurology Center of Orlando, P.a. Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689123093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9796 PECAN HICKORY WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328323605",
            "telephone_number": "480-766-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194206",
            "telephone_number": "407-649-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11886 Lake Underhill Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328254436",
            "country_code": "US",
            "telephone_number": "407-447-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMENECKER",
        "first_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "FNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9424121",
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.