Individual provider Active NPI

Tima Doron, ARNP

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1881055473
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9198961 Issued in FL
Practice address
1534 Birchwood Ave
Kissimmee, FL 34744-4015
Phone
(407) 300-8768
NPI assigned
Mar 10, 2016
Last updated
Mar 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9198961 FL Primary

Addresses

Primary practice location

1534 Birchwood Ave
Kissimmee, FL 34744-4015

Mailing address

1534 Birchwood Ave
Kissimmee, FL 34744-4015
Phone (407) 300-8768

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
I20171207003223 FL Practitioner - Nurse Practitioner 0840557377 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9198961FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walk in Family Psychiatry Family CurrentSince Sep 1, 2021 Accepting new patients
Gaia Holistic Primary Care LLC CurrentSince Jun 5, 2024 Accepting new patients
Afm Healthcare PastSince Oct 1, 2021 Accepting new patients
Florida Infectious Disease Consultants P.a PastSince Jan 1, 2018 Accepting new patients

Locations

20 N Orange Ave
Ste 1100
Orlando, FL 32801
Phone (407) 565-9597

2013 Live Oak Blvd
Ste C
Saint Cloud, FL 34771
Phone (407) 593-2388

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCHDBD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1881055473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 BIRCHWOOD AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444015",
            "telephone_number": "407-300-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 BIRCHWOOD AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444015",
            "telephone_number": "407-300-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORON",
        "first_name": "TIMA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9198961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.