Individual provider Active NPI

Caitlin Alyse Uddo, APRN-C, FNP-C

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1760110969
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020821 Issued in FL
Practice address
7652 Ashley Park CT Ste 305
Orlando, FL 32835-6199
Phone
(407) 299-7333
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 11020821 FL Primary

Addresses

Primary practice location

7652 Ashley Park CT Ste 305
Orlando, FL 32835-6199

Mailing address

7652 Ashley Park CT Ste 305
Orlando, FL 32835-6199

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
I20220921003959 FL Practitioner - Nurse Practitioner 8820473135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Florida Dermatology Associates P.a.Group PAC ID 1254233786, 48 clinicians

Practice addresses (Care Compare)

7652 Ashley Park CT
Suite 305
Orlando, FL 32835-6199
Phone (407) 299-7333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020821FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Dermatology Associates P.a. CurrentSince Sep 1, 2022 Accepting new patients

Locations

844 N Stone St
Ste 204
Deland, FL 32720

6909 Old Highway 441 S
Ste 111
Mount Dora, FL 32757

100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999

7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1760110969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 ASHLEY PARK CT STE 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7652 ASHLEY PARK CT STE 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356199",
            "telephone_number": "407-299-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDO",
        "first_name": "CAITLIN",
        "middle_name": "ALYSE",
        "credential": "APRN-C, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.