Individual provider Active NPI

Honorata Anna Itaman, FNP C

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1972189280
Registry record updated Mar 4, 2024
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Sep 19, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005259 Issued in FL
Practice address
7601 Debeaubien Dr
Orlando, FL 32835-8127
Phone
(832) 755-1668
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN9525238 FL
Family Nurse Practitioner 363LF0000X APRN11005259 FL Primary

Addresses

Primary practice location

7601 Debeaubien Dr
Orlando, FL 32835-8127

Mailing address

7601 Debeaubien Dr
Orlando, FL 32835-8127
Phone (832) 755-1668

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
RN9525238FLMDHome Health Registered Nurse
APRN11005259FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Good Shephard LLC Current Accepting new patients
Abba Urgent Primary Care and Telehealth Family CurrentSince Apr 1, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1972189280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 DEBEAUBIEN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358127",
            "telephone_number": "832-755-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 DEBEAUBIEN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358127",
            "telephone_number": "832-755-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITAMAN",
        "first_name": "HONORATA",
        "middle_name": "ANNA",
        "credential": "FNP C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9525238",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.