Organization Active NPI

Primary Care Nurse Practitioners

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1811618382
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY CARE NURSE PRACTITIONERS
Practice address
2208 Kentucky Derby Dr
Orlando, FL 32825-8751
Phone
(407) 579-1450
NPI assigned
Sep 5, 2022
Organization subpart
Yes
Parent organization
PRIMARY CARE NURSE PRACTITIONERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Authorized official

Name
Ms. Terry Gaye Clemons, APRNNPI 1679654537
Title
Aprn
Phone
(407) 579-1450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2208 Kentucky Derby Dr
Orlando, FL 32825-8751

Mailing address

2208 Kentucky Derby Dr
Orlando, FL 32825-8751
Phone (407) 579-1450

Other names 2

  • At Home Nurse Practitioners Doing business as
  • Skinny Me Doing business as

National Provider Directory

National Provider Directory
Part of
Primary Care Nurse Practitioners

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1811618382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 KENTUCKY DERBY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258751",
            "telephone_number": "407-579-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 KENTUCKY DERBY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258751",
            "telephone_number": "407-579-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE NURSE PRACTITIONERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE NURSE PRACTITIONERS",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "GAYE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "407-579-1450",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Nurse Practitioners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skinny Me",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.