Individual provider Active NPI

Kettia Cadet Cherenfant, NP

  • Primary Care Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1851745368
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9237369 Issued in FL
Practice address
6996 Piazza Grande Ave
Ste 310
Orlando, FL 32835-8756
Phone
(321) 246-5358
Fax
(407) 880-1347
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 9237369 FL Primary

Addresses

Primary practice location

6996 Piazza Grande Ave
Ste 310
Orlando, FL 32835-8756

Mailing address

5162 Rishley Run Way
Mount Dora, FL 32757
Phone (321) 246-5358

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
I20171024001529 FL Practitioner - Nurse Practitioner 3971898990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1851 Elkcam Blvd
Deltona, FL 32725-3922
Phone (386) 789-3769

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9237369FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Jan 20, 2026 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Jan 20, 2026 Accepting new patients

Locations

1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

Organizations & group practices 2

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1851745368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5162 RISHLEY RUN WAY",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "32757",
            "telephone_number": "321-246-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6996 PIAZZA GRANDE AVE",
            "address_2": "STE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358756",
            "telephone_number": "321-246-5358",
            "fax_number": "407-880-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERENFANT",
        "first_name": "KETTIA",
        "middle_name": "CADET",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9237369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.