Individual provider Active NPI

Allison Renee Echevarria, APRN

  • Nurse Practitioner
  • Tavares, FL
National Provider Identifier
1821686635
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11010317 Issued in FL
Practice address
1691 Mayo Dr
Tavares, FL 32778-4301
Phone
(352) 253-0003
Fax
(352) 253-0016
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11010317 FL Primary

Addresses

Primary practice location

1691 Mayo Dr
Tavares, FL 32778-4301

Mailing address

1691 Mayo Dr
Tavares, FL 32778-4301
Phone (352) 253-0003

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
I20210126001269 FL Practitioner - Nurse Practitioner 0648684019 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Cardiovascular Center PA CurrentSince Jan 1, 2021 Accepting new patients

Locations

1691 Mayo Dr
Tavares, FL 32778
Phone (352) 253-0003

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1821686635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 MAYO DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784301",
            "telephone_number": "352-253-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 MAYO DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784301",
            "telephone_number": "352-253-0003",
            "fax_number": "352-253-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVARRIA",
        "first_name": "ALLISON",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11010317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.