Individual provider Active NPI

Katya Victoria Ridore, FNP

  • Family Nurse Practitioner
  • Winter Springs, FL
National Provider Identifier
1699331470
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005676 Issued in FL
Practice address
118 W State Road 434
Winter Springs, FL 32708-2551
Phone
(914) 340-3084
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 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 APRN11005676 FL Primary

Addresses

Primary practice location

118 W State Road 434
Winter Springs, FL 32708-2551

Mailing address

118 W State Road 434
Winter Springs, FL 32708-2551
Phone (914) 340-3084

Other identifiers 2

IdentifierTypeStateIssuer
112849800MedicaidFL
OQ279OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190716003122 NY Practitioner - Nurse Practitioner 4082949862 Reassigns benefits to 3 organizations
I20201009000110 FL Practitioner - Nurse Practitioner 4082949862

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11005676FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Apr 2, 2024 Accepting new patients
Integrated Healthpromotion Family CurrentSince Oct 5, 2025 Accepting new patients
Essen Medical Associates,PC CurrentSince Jun 3, 2019 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Jun 3, 2019 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Apr 2, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 3, 2019 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients

Locations

315 S Ronald Reagan Blvd
Longwood, FL 32750
Phone (407) 637-5656

118 W State Road 434
Winter Springs, FL 32708
Phone (689) 232-5988

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

73 Buffalo St
Ste 100
Canandaigua, NY 14424

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

127 N Main St
Wellsville, NY 14895
Phone (585) 593-6800

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Organizations & group practices 7

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1699331470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W STATE ROAD 434",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082551",
            "telephone_number": "914-340-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W STATE ROAD 434",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082551",
            "telephone_number": "914-340-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDORE",
        "first_name": "KATYA",
        "middle_name": "VICTORIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112849800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OQ279",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

Verify at the official NPI Registry.