Individual provider Active NPI

Brenda Marian Joseph, APRN

  • Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1710879861
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11040616 Issued in FL
Practice address
17289 Hickory Wind Dr
Clermont, FL 34711-8679
Phone
(954) 260-9706
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11040616 FL Primary

Addresses

Primary practice location

17289 Hickory Wind Dr
Clermont, FL 34711-8679

Mailing address

17289 Hickory Wind Dr
Clermont, FL 34711-8679
Phone (954) 260-9706

Other practice location 1

483 N Semoran Blvd Ste 102
Winter Park, FL 32792-3800
Phone (407) 645-1847

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
I20260312000629 FL Practitioner - Nurse Practitioner 8527541168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

483 N Semoran Blvd
Winter Park, FL 32792-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11040616FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cardiology PA CurrentSince Mar 1, 2026 Accepting new patients

Locations

1307 S International Pkwy
Ste 2071
Lake Mary, FL 32746
Phone (407) 755-4018

483 N Semoran Blvd
Ste 102
Winter Park, FL 32792

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1710879861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17289 HICKORY WIND DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118679",
            "telephone_number": "954-260-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17289 HICKORY WIND DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118679",
            "telephone_number": "954-260-9706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 N Semoran Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327923800",
            "country_code": "US",
            "telephone_number": "407-645-1847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "BRENDA",
        "middle_name": "MARIAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11040616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.