Myla Espanol Orejudos, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN11003773 Issued in FL

Practice address

165 Wells Rd Ste 404
Orange Park, FL 32073-3037

Phone

(904) 264-3111

Fax

(904) 264-3213

NPI assigned

Dec 20, 2019

Last updated

Mar 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

R K Vishen MD P aGroup PAC ID 1052409703, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• R K Vishen MD P a

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1912011511

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679788800000",
    "number": "1871131839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 BEDFORD DR",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684369",
            "telephone_number": "904-239-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WELLS RD STE 404",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733037",
            "telephone_number": "904-264-3111",
            "fax_number": "904-264-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREJUDOS",
        "first_name": "MYLA",
        "middle_name": "ESPANOL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11003773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "address_1": "3790 Bedford Dr",
            "city": "Middleburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320684369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Orange Park Rehabilitation and Nursing Center LLC (Orange Park Rehabilitation and Nursing Center)
• Orange Park Sleep Center LLC
• Orange Park Spine Institute LLC
• Kathryn Orason
• Colleen Orbegoso, RDN, LDN
• Jennifer Orem
• Organizational Management Solutions, Inc. (Family Services and Resource Center, Inc.)
• Jason K Orlando, D.O
• Michael James Orlando Jr.
• Wendy L Orth

• Adult Health Nurse Practitioner in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.