Nnenna Emelle

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

ARNP 9280839 Issued in FL

Practice address

1818 Van Allen Loop
Auburndale, FL 33823-2770

Phone

(863) 397-6581

NPI assigned

Jun 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Intensive Care Experts Health Network LLC

  • Pulmonary Disease Physician
  • Hallandale Beach, FL
  • NPI 1164824397
  Medicare reassignment Care Compare group NPD
• Elyaman Medical Services PA

  dba Absolute Elder Care

  • Family Medicine Physician
  • Ocala, FL
  • NPI 1609251685

  Gerontology

  Medicare reassignment NPD
• Peace River Center for Personal Development Inc

  dba Peace River Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bartow, FL
  • NPI 1821097767
  Medicare reassignment NPD
• Intensive Care Experts Health Network LLC

  • Acute Care Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1184596637
  NPD

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1770934127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 VAN ALLEN LOOP",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338232770",
            "telephone_number": "863-397-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 VAN ALLEN LOOP",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338232770",
            "telephone_number": "863-397-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMELLE",
        "first_name": "NNENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP 9280839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parker L Duke, DMD
• Sharmaine Duncan-Pryce
• Nicole Duncan
• Elizabeth Dunham
• Mohamed Elbate Abdelwahed, RPH
• Enthuse Transport
• Everest Rehabilitation Hospital Lakeland LLC
• Evolving Mind Psychiatry LLC
• Exalt Health Rehabilitation Hospital Lakeland LLC
• Excellecare Home Services LLC (Excellecare Service LLC)

• Gerontology Nurse Practitioner in Auburndale, FL
• Providers in Auburndale, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.