Organization Active NPI

Esencial Walk-in & Primary Care Clinic, LLC

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1972285542
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ESENCIAL WALK-IN & PRIMARY CARE CLINIC, LLC
Practice address
630 N Semoran Blvd
Orlando, FL 32807-3330
Phone
(407) 635-0074
NPI assigned
Aug 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Ciara M. Rios, FNP
Title
Medical Provider
Phone
(407) 635-0074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

630 N Semoran Blvd
Orlando, FL 32807-3330

Mailing address

630 N Semoran Blvd
Orlando, FL 32807-3330
Phone (407) 635-0074

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2334716Esencial Walk-in & Primary Care Clinic LLC630 N Semoran Blvd, Orlando, FL 32807Certificate of waiverNov 30, 2027

National Provider Directory

National Provider Directory

Locations

630 N Semoran Blvd
Orlando, FL 32807
Phone (407) 635-0074

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1972285542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073330",
            "telephone_number": "407-635-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073330",
            "telephone_number": "407-635-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESENCIAL WALK-IN & PRIMARY CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "CIARA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "407-635-0074",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.