Individual provider Active NPI

Javier Orta, FNP

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1700460573
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012975 Issued in FL
Practice address
7033 Chatum Light Run
Bradenton, FL 34212-7011
Phone
(941) 264-6401
NPI assigned
May 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11012975 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11012975 FL
Family Nurse Practitioner 363LF0000X APRN11012975 FL Primary

Addresses

Primary practice location

7033 Chatum Light Run
Bradenton, FL 34212-7011

Mailing address

7033 Chatum Light Run
Bradenton, FL 34212-7011
Phone (941) 264-6401

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
I20210720003090 FL Practitioner - Nurse Practitioner 7012310642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11012975FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Luisa Vega DNP LLC Psychiatric/Mental Health CurrentSince Sep 1, 2023 Accepting new patients
Delta Medical Associates, LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1044 E Brandon Blvd
Ste 12
Brandon, FL 33511
Phone (813) 403-4423

525 Technology Park
Lake Mary, FL 32746
Phone (407) 347-4331

1600 Center Rd
Venice, FL 34292
Phone (941) 217-7193

Organizations & group practices 3

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1700460573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 CHATUM LIGHT RUN",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342127011",
            "telephone_number": "941-264-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 CHATUM LIGHT RUN",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342127011",
            "telephone_number": "941-264-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTA",
        "first_name": "JAVIER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11012975",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11012975",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.