Individual provider Active NPI

Fedora Elipe, ARNP

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1902273402
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9238359 Issued in FL
Practice address
3218 Hillsdale LN
Kissimmee, FL 34741-7562
Phone
(407) 350-3525
Fax
(407) 264-6011
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 9238359 FL Primary

Addresses

Primary practice location

3218 Hillsdale LN
Kissimmee, FL 34741-7562

Mailing address

3218 Hillsdale LN
Kissimmee, FL 34741-7562
Phone (407) 350-3525

Other practice location 1

14271 SW 42nd St
Miami, FL 33175-6408
Phone (786) 431-1180

Other identifiers 1

IdentifierTypeStateIssuer
1902273402OtherFLNPPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9238359FLMDClinical Social Worker
9238359FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ubaldo a Miranda MD PA CurrentSince Mar 21, 2021 Accepting new patients

Locations

3218 Hillsdale Ln
Kissimmee, FL 34741
Phone (407) 350-3525

14271 SW 42nd St
Miami, FL 33175
Phone (305) 207-5350

Organizations & group practices 1

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1902273402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 HILLSDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417562",
            "telephone_number": "407-350-3525",
            "fax_number": "407-264-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 HILLSDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417562",
            "telephone_number": "407-350-3525",
            "fax_number": "407-264-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14271 SW 42nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331756408",
            "country_code": "US",
            "telephone_number": "786-431-1180",
            "fax_number": "407-264-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIPE",
        "first_name": "FEDORA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9238359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPI",
            "identifier": "1902273402",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.