Individual Education Plan Academy

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

Legal business name

INDIVIDUAL EDUCATION PLAN ACADEMY

Practice address

1515 Michigan Ave
Kissimmee, FL 34744-3567

Phone

(407) 485-1103

NPI assigned

Apr 9, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Susy Rosanna Banks

Title

Director of Student Services

Phone

(407) 485-1103

Specialties & licenses 2

Addresses

Other names 1

• IEP Academy of Poinciana North Doing business as

Electronic endpoints 4

Locations

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1831718980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MICHIGAN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443567",
            "telephone_number": "407-485-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MICHIGAN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443567",
            "telephone_number": "407-485-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 13th St",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347694308",
            "country_code": "US",
            "telephone_number": "407-485-1103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4942 Old Pleasant Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593430",
            "country_code": "US",
            "telephone_number": "407-485-1103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Trafalgar Blvd",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347582551",
            "country_code": "US",
            "telephone_number": "407-485-1103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDIVIDUAL EDUCATION PLAN ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "SUSY",
        "authorized_official_middle_name": "ROSANNA",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT SERVICES",
        "authorized_official_telephone_number": "407-485-1103",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbanks@iepacademy.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1515 Michigan Ave",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347443567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbanks@iepacademy.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2525 Trafalgar Blvd",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347582551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbanks@iepacademy.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4942 Old Pleasant Hill Rd",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347593430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbanks@iepacademy.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1717 13th St",
            "city": "Saint Cloud",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347694308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "IEP Academy of Poinciana North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IEP Academy of Poinciana North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aziz Imtiaz, MD
• Sarah Josephine Inbornone, DO
• Nadine Starr Incle
• Petula Sadhana Indar, ARNP
• Independent Anesthesia Services PA
• Lisandra Annette Indomenico, MSW
• Dayana Infante Garcia, MD
• Yanela Infante Zaldivar
• Julissa Infante
• Reynaldo Infante, MSN FNP BC

• School Registered Nurse in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• School Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.