Active NPI
Angel Avila-Garcia
- Psychiatric/Mental Health Nurse Practitioner
- Orlando, FL
National Provider Identifier
1710640982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11015600
- Practice address
- 801 N Magnolia Ave Ste 402
Orlando, FL 32803-3844 - Phone
- (321) 800-2922
- NPI assigned
- Oct 14, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11015600 | FL | Primary |
Addresses
Primary practice location
801 N Magnolia Ave Ste 402
Orlando, FL 32803-3844
Mailing address
4843 Zion Dr
Saint Cloud, FL 34772-7735
Phone (915) 920-2297
Other practice location 1
932 E Osceola Pkwy
Kissimmee, FL 34744-1615
Phone (407) 204-9914
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11015600 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1710640982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4843 ZION DR",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347727735",
"telephone_number": "915-920-2297",
"fax_number": "407-550-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N MAGNOLIA AVE STE 402",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328033844",
"telephone_number": "321-800-2922"
}
],
"practiceLocations": [
{
"address_1": "932 E Osceola Pkwy",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347441615",
"country_code": "US",
"telephone_number": "407-204-9914",
"fax_number": "407-550-6956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVILA-GARCIA",
"first_name": "ANGEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-14",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11015600",
"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 Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.