Active NPI
Aurora Queckboerner
- Registered Nurse
- Clermont, FL
National Provider Identifier
1942780481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9414331
- Practice address
- 1900 Don Wickham Dr
Clermont, FL 34711-1979 - Phone
- (954) 789-9917
- NPI assigned
- Aug 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9414331 | FL | Primary |
Addresses
Primary practice location
1900 Don Wickham Dr
Clermont, FL 34711-1979
Mailing address
13231 Woodford Street
Orlando, FL 32832
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9414331 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1942780481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13231 WOODFORD STREET",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 DON WICKHAM DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111979",
"telephone_number": "954-789-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUECKBOERNER",
"first_name": "AURORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9414331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.