WILISA TODD (NPI# 1811327521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811327521 |
| Entity Type | Individual |
| Full Name | WILISA TODD |
| Other Name | WILISA HENTHORN |
| Credential | ARNP |
| Practice Address |
2100 Aloma Ave Ste 204 Winter Park FL 32792-3301 |
| Practice Telephone | 3214223660 |
| Practice Fax Number | 4076442981 |
| Mailing Telephone | 3214223660 |
| Mailing Fax Number | 4076442981 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP2541902 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 10198700 | 05 |
| Street Address |
2100 ALOMA AVE STE 204 |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32792-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127671 | Seema K Patel | Specialist | 2100 Aloma Ave Ste 204, Winter Park, FL 32792-3301 | 2005-10-10 |
| 1952643330 | Rita Nwakaego Nwanyanwu | Internal Medicine | 2100 Aloma Ave Ste 204, Winter Park, FL 32792-3301 | 2013-03-23 |
| 1518257633 | Cristina Maria Amado | Internal Medicine | 2100 Aloma Ave Ste 204, Winter Park, FL 32792-3301 | 2011-04-11 |
| 1518156017 | Premier Infectious Disease Care LLC | Internal Medicine | 2100 Aloma Ave Ste 204, Winter Park, FL 32792-3301 | 2007-10-20 |
| 1124096391 | Archana Shah | Internal Medicine | 2100 Aloma Ave Ste 204, Winter Park, FL 32792-3301 | 2006-03-14 |
| 1558344242 | Diane Orlov | Nurse Practitioner | 2100 Aloma Ave Ste 204, Winter Park, FL 32792-3301 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647589 | Interim Personal Care Services, LLC | Home Health | 1890 State Road 436, Suite 355, Winter Park, FL 32792 | 2020-07-23 |
| 1710510649 | Chrisline Badio | Clinic/Center | 3040 Aloma Ave Apt J12, Winter Park, FL 32792 | 2020-02-19 |
| 1679112411 | The Local Health Council of East Central Florida, Inc. | Voluntary or Charitable | 5931 Brick Court, Suite 164, Winter Park, FL 32792 | 2019-12-26 |
| 1710534201 | Robert Scott Hughes | Occupational Therapy Assistant | 925 South Semoran Blvd, #110a, Winter Park, FL 32792 | 2019-08-20 |
| 1164077962 | Dentists of Winter Park, Pa | Dentist | 1973 Aloma Avenue, Winter Park, FL 32792 | 2019-08-08 |
| 1659938637 | Adventist Health System/sunbelt Inc Dba Adventhealth Orlando | Pharmacy | 2005 Mizell Avenue, Suite 900, Winter Park, FL 32792 | 2019-05-24 |
| 1104397801 | Jose M Martinez Rivera | Chiropractor | 471 N Semoran Blvd., Suite B, Orlando, FL 32792 | 2018-12-07 |
| 1750875720 | Andrea Nalborczyk | Student in an Organized Health Care Education/Training Program | 133 Benmore Dr #200, Winter Park, FL 32792 | 2018-06-21 |
| 1841787157 | Rd Health Diagnostic LLC | Clinical Medical Laboratory | 6904 Aloma Ave, Winter Park, FL 32792 | 2018-04-23 |
| 1548763006 | Daniel Remington Geer | Hearing Instrument Specialist | 7007 University Blvd, Winter Park, FL 32792 | 2018-03-12 |
| Find all providers in zip 32792 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063073328 | Laurie Ann Amodeo | Nurse Practitioner | 2100 Glenwood Dr Ste 100, Winter Park, FL 32792-3308 | 2019-06-26 |
| 1962944017 | Kyounghee Han | Nurse Practitioner | 1400 S Orlando Ave Ste 205, Winter Park, FL 32789-5543 | 2016-11-07 |
| 1396014270 | Gloria Burchett | Nurse Practitioner | 1111 Carvell Dr, Winter Park, FL 32792 | 2011-12-21 |
| 1073026910 | Ariel Nicasio Circulado Dela Cruz | Nurse Practitioner | 483 N Semoran Blvd Ste 102, Winter Park, FL 32792-3800 | 2017-11-14 |
| 1639603954 | Paul Matthew Viera-briggs | Nurse Practitioner | 1400 S Orlando Ave, Winter Park, FL 32789-5543 | 2017-04-13 |
| 1770028987 | Jennifer Lynn Williams | Nurse Practitioner | 1925 Mizell Ave, Winter Park, FL 32792-4106 | 2016-12-23 |
| 1194176487 | Sara Mills Fisher | Nurse Practitioner | 1605 W Fairbanks Ave, Winter Park, FL 32789-4603 | 2016-06-28 |
| 1184000168 | Shabnam Abdolahi Fard | Nurse Practitioner | 941 W Morse Blvd Ste 100, Winter Park, FL 32789-3781 | 2015-08-03 |
| 1639583909 | Sara Bashyam | Nurse Practitioner | 483 N Semoran Blvd, 102, Winter Park, FL 32792-3800 | 2014-06-16 |
| 1073809612 | Angela K Foxe | Nurse Practitioner | 483 N Semoran Blvd, Suite 102, Winter Park, FL 32792-3800 | 2011-06-22 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32792 |
Please comment or provide details below to improve the information on WILISA TODD.
| 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.