Active NPI
Honorata Anna Itaman, FNP C
- Family Nurse Practitioner
- Orlando, FL
National Provider Identifier
1972189280
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.
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11005259
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9525238 | FL | MD | Home Health Registered Nurse |
| APRN11005259 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Good Shephard LLC | Current | Accepting new patients | |
| Abba Urgent Primary Care and Telehealth | Family | Current | 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.
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1841045416
-
- Home Health Agency
- Houston, TX
- NPI 1558995530
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.