LORETTA BACCHIOCCHI


Address: 1115 E. Ridgewood Street, Orlando, FL 32803
Phone: 4078411100

LORETTA BACCHIOCCHI (NPI# 1033409032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033409032
Entity Type Individual
Full Name LORETTA BACCHIOCCHI
Credential ARNP
Practice Address 1115 E. Ridgewood Street
Orlando
FL 32803
Mailing Address 326 N Mills Ave
Orlando
FL 32803-5734
Practice Telephone 4078411100
Practice Fax Number 4078410774
Mailing Telephone 4078411100
Mailing Fax Number 4076498677
Enumeration Date 2011-04-11
Last Update Date 2016-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
9174215 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 017737900 05

Office Location

Street Address 1115 E. RIDGEWOOD STREET
City ORLANDO
State FL
Zip Code 32803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649272402 Kevin D Deboer Internal Medicine 1115 E. Ridgewood Street, Orlando, FL 32803 2005-08-11
1205298460 Latasha Anderson Nurse Practitioner 1115 E. Ridgewood Street, Orlando, FL 32803 2016-03-25
1417218942 Mary Jane Concengco Registered Nurse 1115 E. Ridgewood Street, Orlando, FL 32803 2012-05-31
1336102177 Duangdow Cumemanie Nurse Practitioner 1115 E. Ridgewood Street, Orlando, FL 32803 2006-04-11
1528047305 Ahmed Masood Internal Medicine 1115 E. Ridgewood Street, Orlando, FL 32803 2006-01-11
1659350320 Daniel T Layish Internal Medicine 1115 E. Ridgewood Street, Orlando, FL 32803 2006-01-11
1689653479 Syed I Mobin Internal Medicine 1115 E. Ridgewood Street, Orlando, FL 32803 2006-01-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255952636 Laiza Souza Tanner Technician 500 E Rollins St, Orlando, FL 32803 2020-04-27
1407415342 Betty Carrol Marriage & Family Therapist 1516 E Colonial Dr Ste 100, Orlando, FL 32803 2019-06-12
1326606047 Anthony Balingit Physical Therapy Assistant 1870 Aloma Avenue, Orlando, FL 32803 2019-05-29
1396234795 Natasha Le Morvan Technician/Technologist 1364 Ferris Ave, Orlando, FL 32803 2018-05-02
1306365796 Sarah E Fischer Nurse Practitioner Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 2017-09-17
1710404249 Emilia's Direct Care Agency Community/Behavioral Health 3218 E Colonial Dr Rm 118, Orlando, FL 32803 2017-08-25
1760907620 Kalie Brianne Morris Speech-Language Pathologist 1120 Portland Ave Unit 7, Orlando, FL 32803 2017-08-11
1972024271 Tatiana Ungredda Psychologist 5201 Raymond St Ste 424, Orlando, FL 32803 2017-06-28
1063942662 Michael Thomas Licensed Practical Nurse 101 South Bumby Ave, E11, Orlando, FL 32803 2017-06-15
1598209249 Danielle Marin Behavioral Analyst 2807 Edgewater Dr, Orlando, FL 32803 2016-12-15
Find all providers in zip 32803

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366056749 Talesha Michell Jackson Nurse Practitioner 4900 Millenia Blvd Apt 307, Orlando, FL 32839-6052 2020-09-03
1235617085 Elizabeth Jeanette Yousef Nurse Practitioner 3090 Caruso Court, Orlando, FL 32806 2018-08-03
1508248584 Rachelle Alejandro Nurse Practitioner 9481 Dowden Rd Apt 5307, Orlando, FL 32832-5678 2015-06-25
1811324585 Elizabeth Blaine Tucker Nurse Practitioner 801 North Magnolia Avenue, 402, Orlando, FL 32803-3280 2013-09-26
1306287818 Lori Ann Hadas Nurse Practitioner 601 E. Rollins Ave, Orlando, FL 32803 2013-07-12
1780936559 Jessica Lucas Nurse Practitioner 2309 Ann Arbor Ave, Orlando, FL 32804-5313 2012-10-03
1780618355 Melisa Andrea Wilson Nurse Practitioner 2501 N Orange Ave Ste 402, Orlando, FL 32804-4674 2006-07-10
1477583631 Michelle Joi Cornell Nurse Practitioner 51 Pennsylvania St, Orlando, FL 32806-2937 2006-07-04
1972110641 Laura Nazario Nurse Practitioner 601 E Rollins St, Orlando, FL 32803-1248 2020-09-28
1023644192 Nora Lee Vandenbrink Nurse Practitioner 2501 N Orange Ave Ste 689, Orlando, FL 32804-4648 2020-03-20
Find all providers in ORLANDO

Competitor

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City ORLANDO
Zip Code 32803

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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