Individual provider Active NPI

Adriana Sofia Correa Raimundi, APRN

  • Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1962234112
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11034835 Issued in FL
Practice address
2400 N Orange Blossom TRL Ste 300
Kissimmee, FL 34744-2308
Phone
(407) 846-7200
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11034835 FL Primary

Addresses

Primary practice location

2400 N Orange Blossom TRL Ste 300
Kissimmee, FL 34744-2308

Mailing address

2400 N Orange Blossom TRL Ste 300
Kissimmee, FL 34744-2308
Phone (407) 846-7200

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
I20241220001169 FL Practitioner - Nurse Practitioner 0143757757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

2400 N Orange Blossom Trail
Suite 300
Kissimmee, FL 34744-2308
Phone (407) 846-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11034835FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Dec 13, 2024 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

400 Celebration Pl
Ste A130
Celebration, FL 34747
Phone (407) 228-8066

2400 N Orange Blossom Trl
Ste 300
Kissimmee, FL 34744
Phone (407) 648-9400

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

400 Celebration Pl
Ste A
Kissimmee, FL 34747
Phone (407) 303-4197

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

6718 Lake Nona Blvd
Ste 240
Orlando, FL 32827
Phone (407) 619-6192

14050 Town Loop Blvd
Orlando, FL 32837
Phone (407) 348-0399

14050 Town Loop Blvd
Ste 101
Orlando, FL 32837
Phone (407) 240-4867

15502 Stoneybrook West Pkwy
Ste 112
Winter Garden, FL 34787
Phone (407) 846-7200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: adriana.raimundi.1@2183.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1962234112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 300",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442308",
            "telephone_number": "407-846-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 300",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442308",
            "telephone_number": "407-846-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA RAIMUNDI",
        "first_name": "ADRIANA",
        "middle_name": "SOFIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11034835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.