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PHOENIX TA APRN
NPI 1457729451
Nurse Practitioner in Orlando, FL

Active since September 08, 2015
5105 S ORANGE AVE, ORLANDO, FL 32809(407) 901-1808 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2021, May 19, 2016 (2 updates tracked since 2016).

About Phoenix Ta Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX TA APRN (NPI 1457729451) is an individual nurse practitioner in Orlando, Florida, licensed in Florida (ARNP9349473) and active in the NPI registry since September 2015. She maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1457729451
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePHOENIX TACredential: APRN
Location Address5105 S ORANGE AVEOrlando, FL 32809-3039
Mailing Address5105 S Orange AveOrlando, FL 32809-3039 · (407) 901-1808
Phone(407) 901-1808
Sole ProprietorYes
Enumeration DateSeptember 8, 2015
Last NPPES UpdateApril 13, 20212 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1457729451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP9349473
Definition
(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.
5105 S ORANGE AVE, Orlando, FL 32809
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Secondary Practice Location 1

Location 12868 S Alafaya Trl, Suite 130Orlando, FL 32828-7974 · Phone (407) 770-0063 · Fax (407) 770-0129

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Ta's NPI number?

The NPI number for Phoenix Ta is 1457729451. It was assigned to this individual provider in the NPPES registry on September 8, 2015.

Where is Phoenix Ta located?

Phoenix Ta practices at 5105 S Orange Ave, Orlando, FL 32809. The listed phone number is (407) 901-1808.

What is Phoenix Ta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Ta was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.