MRS. JOHANNA IVICH (NPI# 1952746703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952746703 |
| Entity Type | Individual |
| Full Name | MRS. JOHANNA IVICH |
| Credential | NNP-BC |
| Practice Address |
13535 Nemours Pkwy Orlando FL 32827-7402 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 4075674000 |
| Practice Fax Number | 4075675924 |
| Mailing Telephone | 8139742201 |
| Mailing Fax Number | 8139742812 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
ARNP9363820 | FL | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | ARNP9363820 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
ARNP9363820 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100145500 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | AL8JF | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 5th St S, Dept #6590070301, St Petersburg, FL 337014804 | 7277673051 |
| Street Address |
13535 NEMOURS PKWY |
| City | ORLANDO |
| State | FL |
| Zip Code | 32827-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454924 | Mary Bratovich Toth | Internal Medicine | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2005-08-21 |
| 1619597424 | Sarah Mullinax | Social Worker | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2020-04-22 |
| 1255976734 | Aubrei Blumberg | Behavior Technician | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-11-08 |
| 1770128258 | Zindia Figueroa | Nurse Anesthetist, Certified Registered | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-11-08 |
| 1871135632 | Erin Armstrong | Registered Nurse | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-10-14 |
| 1699322677 | Daisy Jareidy Ocasio | Behavior Technician | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-08-23 |
| 1720635709 | Tatiana Paola Lozada | Behavior Technician | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-08-23 |
| 1144876772 | Ashley Patricia Shuler | Behavioral Analyst | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-08-09 |
| 1730731415 | Julio Cesar Patino Legge | Nurse Practitioner | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-07-12 |
| 1215589098 | Candace Marie Deluca | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1174016265 | Heather Marinello | Audiologist | Orlando Va Medical Center- Audiology Department, 13800 Veterans Way, Orlando, FL 32827 | 2018-06-13 |
| 1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1013426188 | Valerie Anne Farrell | Social Worker | 13800 Veteran's Way, Bldg 9, Orlando, FL 32827 | 2017-09-21 |
| 1568981256 | Aneal Ansar Ahmed | Pharmacist | 6550 Sanger Road, University of Florida, Orlando, FL 32827 | 2017-09-13 |
| 1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
| 1396299087 | Leah Sheehey-hampton | Counselor | 600 Tavistock Lakes Blvd, Suite 400, Orlando, FL 32827 | 2016-08-10 |
| 1972919272 | Scott Sakowitz | Dentist | 9161 Narcoossee Rd Ste 105b, Orlando, FL 32827 | 2014-07-08 |
| Find all providers in zip 32827 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395125 | Olayemi Olusola Agbaje | Nurse Practitioner | 5900 Lake Ellenor Dr Ste 150, Orlando, FL 32809-4663 | 2020-10-27 |
| 1871192054 | Maria Lena Afxendiou | Nurse Practitioner | 11058 Grande Pines Cir Apt 821, Orlando, FL 32821-9333 | 2020-10-20 |
| 1396352316 | Erin Fahy | Nurse Practitioner | 2737 Rainbow Springs Ln, Orlando, FL 32828-7783 | 2020-09-24 |
| 1093321457 | Sherry Benson Loiselle | Nurse Practitioner | 19407 Charrice Ct, Orlando, FL 32833-5528 | 2020-09-21 |
| 1861003949 | Raul Junior Beltran | Nurse Practitioner | 1612 E Central Blvd, Orlando, FL 32803-5902 | 2020-08-12 |
| 1780202945 | Vivi Nguyen | Nurse Practitioner | 1700 Sand Lake Rd Ste D112, Orlando, FL 32809-9149 | 2020-07-13 |
| 1902424385 | Estel Angelika Hernandez | Nurse Practitioner | 16039 Old Cheney Hwy, Orlando, FL 32833-2716 | 2020-07-11 |
| 1801414727 | Teresa A Kamps | Nurse Practitioner | 1850 Oak Grove Chase Dr, Orlando, FL 32820-2265 | 2020-07-07 |
| 1073130688 | Iris N Bosse | Nurse Practitioner | 10401 Post Office Blvd W Unit 621212, Orlando, FL 32862-8485 | 2020-06-30 |
| 1902430473 | Faith Daza | Nurse Practitioner | 14315 Golden Rain Tree Blvd, Orlando, FL 32828-4843 | 2020-02-24 |
| Find all providers in ORLANDO | ||||
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| 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.