NPIMap

Individual provider Active NPI

Sreeja Nandakumar

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1740659440
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9253181 Issued in FL
Practice address
Primary Care Training Center, 25 South Terry Avenue
Suite310
Orlando, FL 32805
Phone
(407) 641-2444
Fax
(407) 641-2445
NPI assigned
Sep 23, 2015
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 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 9253181 FL Primary

Addresses

Primary practice location

Primary Care Training Center, 25 South Terry Avenue
Suite310
Orlando, FL 32805

Mailing address

Primary Care Training Center, 25 South Terry Avenue
Suite310
Orlando, FL 32805
Phone (407) 641-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160218000202 FL Practitioner - Nurse Practitioner 4789989419 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

885 N Alafaya TRL
Unit G04
Orlando, FL 32828-7049
Phone (407) 965-5109

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9253181FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Jan 10, 2022 Accepting new patients
Adventist Health System Sunbelt, Inc. Family Current Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince Mar 29, 2022 Accepting new patients
Adventist Health System/Sunbelt, Inc. Family CurrentSince Jan 10, 2022 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Jan 10, 2022 Accepting new patients
Adventist Health System Sunbelt Inc Family Current Accepting new patients
Adventist Health System/Sunbelt, Inc. Family CurrentSince Jan 10, 2022 Accepting new patients
Adventist Health System/Sunbelt, Inc. Family Past Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

4404 S Highway 27
Clermont, FL 34711

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

25 S Terry Ave
Ste 310
Orlando, FL 32805
Phone (407) 641-2444

5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

Interoperability endpoints

  • Direct secure messaging: snandakumar579649@adventhealth.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1740659440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRIMARY CARE TRAINING CENTER, 25 SOUTH TERRY AVENUE",
            "address_2": "SUITE310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32805",
            "telephone_number": "407-641-2444",
            "fax_number": "407-641-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRIMARY CARE TRAINING CENTER, 25 SOUTH TERRY AVENUE",
            "address_2": "SUITE310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32805",
            "telephone_number": "407-641-2444",
            "fax_number": "407-641-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDAKUMAR",
        "first_name": "SREEJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9253181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.