Individual provider Active NPI

Linda Nicol Pedicone, ARNP

  • Pediatric Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1962729350
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN2989332 Issued in FL
Practice address
601 W Michigan St
Orlando, FL 32805-6203
Phone
(407) 317-7430
Fax
(407) 648-8213
NPI assigned
Apr 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP2989332 FL
Pediatric Nurse Practitioner 363LP0200X APRN2989332 FL Primary

Addresses

Primary practice location

601 W Michigan St
Orlando, FL 32805-6203

Mailing address

601 W Michigan St
Orlando, FL 32805-6203
Phone (407) 317-7430

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

LicenseStateTypeSpecialty
ARNP2989332FLMDFamily Nurse Practitioner
APRN2989332FLMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1962729350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328056203",
            "telephone_number": "407-317-7430",
            "fax_number": "407-648-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328056203",
            "telephone_number": "407-317-7430",
            "fax_number": "407-648-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDICONE",
        "first_name": "LINDA",
        "middle_name": "NICOL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2989332",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN2989332",
            "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 Jul 22, 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.