MISS JACQUELINE LARREA (NPI# 1083009328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083009328 |
| Entity Type | Individual |
| Full Name | MISS JACQUELINE LARREA |
| Credential | A.R.N.P. |
| Practice Address |
1817 N Mills Ave Orlando FL 32803-1853 |
| Practice Telephone | 4078961726 |
| Practice Fax Number | 4072413259 |
| Mailing Telephone | 4078961726 |
| Mailing Fax Number | 4072413259 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9263016 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1817 N MILLS AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518952084 | Earlyne L Rodriguez | Nurse Anesthetist, Certified Registered | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2005-09-12 |
| 1568829323 | Orlando Mills Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2016-01-25 |
| 1922311448 | Endoscopic Anesthesia Group, P.a. | Anesthesiology | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2010-07-26 |
| 1902079775 | Orlando Mills Fl Endoscopy Asc LLC | Clinic/Center | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2008-04-11 |
| 1588716492 | Marlon Ilagan | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2007-01-18 |
| 1598795031 | Sandi C Franklin | Nurse Anesthetist, Certified Registered | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2006-07-03 |
| 1750320099 | Gastroenterology Assoc of Central Fl | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2006-06-05 |
| 1154360493 | William Mayoral | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2006-06-05 |
| 1598704843 | William Brandon Ruderman | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2006-06-05 |
| 1932148285 | Henry Levine | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2006-06-05 |
| Find all providers in the same location | ||||
| 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 Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1962019232 | Gerda Dorce | Nurse Practitioner | 5045 Catspaw Ct, Orlando, FL 32808-5961 | 2020-09-30 |
| 1073120093 | Kailey Wickens | Nurse Practitioner | 10139 Rivers Trail Dr, Orlando, FL 32817-2884 | 2020-09-24 |
| 1528672284 | Paulette Fernandez | Nurse Practitioner | 9208 Larette Dr, Orlando, FL 32817-2618 | 2020-09-01 |
| 1225641798 | Jennifer Marie Fleitas | Nurse Practitioner | 1501 Balsam Willow Trl, Orlando, FL 32825-4469 | 2020-08-25 |
| 1730792201 | Winnie Tsang-wu | Nurse Practitioner | 11419 Chateaubriand Ave, Orlando, FL 32836-8890 | 2020-08-25 |
| 1851902548 | April Michelle Edwards | Nurse Practitioner | 2630 Babbitt Ave, Orlando, FL 32833-4023 | 2020-08-14 |
| 1417567454 | Maureen Williams | Nurse Practitioner | 2126 Great Falls Way, Orlando, FL 32824-4302 | 2020-08-04 |
| 1134747470 | Edelio Valentin De Zayas | Nurse Practitioner | 7763 Segovia St, Orlando, FL 32822-8036 | 2020-07-13 |
| 1811515141 | Yuliet Castillo | Nurse Practitioner | 10814 Flycast Cir, Orlando, FL 32825-4878 | 2020-07-13 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on MISS JACQUELINE LARREA.
| 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.