Individual provider Active NPI

Raeanna White

  • Adult Health Nurse Practitioner
  • Ocoee, FL
National Provider Identifier
1962374504
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11042411 Issued in FL
Practice address
10000 W Colonial Dr Ste 285
Ocoee, FL 34761-3432
Phone
(407) 298-6950
Fax
(407) 578-2354
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11042411 FL Primary
Acute Care Nurse Practitioner 363LA2100X 11042411 FL

Addresses

Primary practice location

10000 W Colonial Dr Ste 285
Ocoee, FL 34761-3432

Mailing address

10000 W Colonial Dr Ste 285
Ocoee, FL 34761-3432
Phone (407) 298-6950

Other practice location 1

2101 Park Center Dr Ste 130
Orlando, FL 32835-7611
Phone (407) 298-6950

Other identifiers 1

IdentifierTypeStateIssuer
129548900MedicaidFL

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
I20251216000365 FL Practitioner - Nurse Practitioner 6608360714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

10000 W Colonial Dr
Suite 282
Ocoee, FL 34761-3432
Phone (321) 841-6444

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11042411FLMDAcute Care Nurse Practitioner
APRN11042411FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

10000 W Colonial Dr
Ste 282
Ocoee, FL 34761

10000 W Colonial Dr
Ste 285
Ocoee, FL 34761
Phone (321) 841-2020

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

2101 Park Center Dr
Ste 130
Orlando, FL 32835
Phone (407) 297-0080

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

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 3

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": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1962374504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 285",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613432",
            "telephone_number": "407-298-6950",
            "fax_number": "407-578-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 285",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613432",
            "telephone_number": "407-298-6950",
            "fax_number": "407-578-2354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Park Center Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328357611",
            "country_code": "US",
            "telephone_number": "407-298-6950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RAEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11042411",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11042411",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129548900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.