Organization Active NPI

Narra Primary Care, PLLC

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1902630627
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NARRA PRIMARY CARE, PLLC
Practice address
1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378
Phone
(407) 925-4395
Fax
(407) 550-7416
NPI assigned
Aug 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Geraldine Kidary, APRNNPI 1982075529
Title
Owner
Phone
(407) 925-4395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378

Mailing address

1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378
Phone (407) 925-4395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251027001893 FL Part B Supplier - Clinic/Group Practice 7719476266 Receives reassigned benefits from 1 practitioner
Practice locations: Altamonte Springs, FL

National Provider Directory

National Provider Directory

Locations

789 Douglas Ave
Ste 137
Altamonte Springs, FL 32714
Phone (321) 297-1118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1902630627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEMBROOK DR STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106378",
            "telephone_number": "407-925-4395",
            "fax_number": "407-550-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEMBROOK DR STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106378",
            "telephone_number": "407-925-4395",
            "fax_number": "407-550-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARRA PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "KIDARY",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-925-4395",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.