Individual provider Active NPI

Keriane Golnar Angress, APRN

  • Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1780549329
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11042945 Issued in FL
Practice address
1035 N Orlando Ave Ste 201
Winter Park, FL 32789-2213
Phone
(407) 678-3255
Fax
(407) 599-5966
NPI assigned
Dec 17, 2025
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11042945 FL Primary
Adult Health Nurse Practitioner 363LA2200X 11042945 FL
Primary Care Nurse Practitioner 363LP2300X 11042945 FL

Addresses

Primary practice location

1035 N Orlando Ave Ste 201
Winter Park, FL 32789-2213

Mailing address

1408 Park Manor Dr
Orlando, FL 32825-5736
Phone (305) 299-3567

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
I20260515002877 FL Practitioner - Nurse Practitioner 7618458340 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)

1035 N Orlando Ave
Suite 201
Winter Park, FL 32789-2213

243 Nob Hill Cir
Longwood, FL 32779-4430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11042945FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bella H. Dattani, MD PA CurrentSince Dec 21, 2025 Accepting new patients

Locations

1035 N Orlando Ave
Ste 201
Winter Park, FL 32789
Phone (407) 678-3255

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1780549329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 PARK MANOR DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255736",
            "telephone_number": "305-299-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N ORLANDO AVE STE 201",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892213",
            "telephone_number": "407-678-3255",
            "fax_number": "407-599-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGRESS",
        "first_name": "KERIANE",
        "middle_name": "GOLNAR",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11042945",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11042945",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11042945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.