Riana Colvin Skorupa, ARNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP1839152 Issued in FL

Practice address

27849 Lake Jem Rd
Mount Dora, FL 32757-9304

Phone

(352) 735-2975

Fax

(352) 735-2975

NPI assigned

May 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Riana Colvin Bronson-Cheatham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1902164445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27849 LAKE JEM RD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579304",
            "telephone_number": "352-735-2975",
            "fax_number": "352-735-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27849 LAKE JEM RD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579304",
            "telephone_number": "352-735-2975",
            "fax_number": "352-735-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORUPA",
        "first_name": "RIANA",
        "middle_name": "COLVIN",
        "name_prefix": "Mrs.",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1839152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "ARNP1839152",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIANA",
            "last_name": "BRONSON-CHEATHAM",
            "middle_name": "COLVIN",
            "prefix": "MRS.",
            "credential": "ARNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trey Sidenbender
• Michelle L Sidor, ARNP
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• Shauna Simon
• Stephanie Simon, RBT
• Brittany Smith, RBT
• Felicia Smith
• Jacqueline Lenore Smith
• Jessica Smith
• Kayla Marie Smith

• Family Nurse Practitioner in Mount Dora, FL
• Providers in Mount Dora, 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 Apr 24, 2017; 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.