Real Health America, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9223946 Issued in FL

Legal business name

REAL HEALTH AMERICA, LLC

Practice address

3251 Falcon Point Dr
Kissimmee, FL 34741-7547

Phone

(407) 616-1111

Fax

(407) 297-8409

NPI assigned

May 29, 2012

Organization subpart

No

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

Authorized official

Name

Samuel Busa Realista, ARNPNPI 1194052811

Title

Arnp/Owner

Phone

(407) 616-1111

Specialties & licenses 1

Addresses

Practitioners 1

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

• Samuel Busa Realista, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1194052811
  NPD (past) Authorized official

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1831459585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 FALCON POINT DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417547",
            "telephone_number": "407-616-1111",
            "fax_number": "407-297-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 FALCON POINT DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417547",
            "telephone_number": "407-616-1111",
            "fax_number": "407-297-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL HEALTH AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "REALISTA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "BUSA",
        "authorized_official_title_or_position": "ARNP/OWNER",
        "authorized_official_telephone_number": "407-616-1111",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9223946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.