KRISTIN LEA HOOD PROVENCHER CPNP-PC
NPI 1215280037
Nurse Practitioner - Pediatrics in Orlando, FL

NPI Status: Active since October 17, 2012

Contact Information

615 E PRINCETON ST
SUITE 510
ORLANDO, FL
ZIP 32803
Phone: (407) 898-1210
Fax: (407) 898-2909

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  • Individual
  • Female
  • Nurse Practitioner
  • Pediatrics

About KRISTIN PROVENCHER

This page provides the complete NPI Profile along with additional information for Kristin Provencher, a provider established in Orlando, Florida with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1215280037 assigned on October 2012. The practitioner's primary taxonomy code is 363LP0200X with license number ARNP 9265639 (FL). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1215280037
Provider Name
KRISTIN LEA HOOD PROVENCHER CPNP-PC
Gender
Female
Entity Type
Individual
Location Address
615 E PRINCETON ST SUITE 510 ORLANDO, FL 32803
Location Phone
(407) 898-1210
Location Fax
(407) 898-2909
Mailing Address
PO BOX 691597 ORLANDO, FL 32869
Mailing Phone
(407) 898-1210
Mailing Fax
(407) 898-2909
Is Sole Proprietor?
No
Enumeration Date
10-17-2012
Last Update Date
05-05-2014
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A nurse practitioner (NP) like Kristin Provencher is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
ARNP 9265639
License State
FL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GS088ZMEDICARE PIN (08)FL 
Y0E9GOTHER (01)FLBCBS OF FL
007190500MEDICAID (05)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215280037
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222548006
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 4 + 8 + 0 + 0 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1215280037 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184627267DR. HENRY PICKETT DUMAS MD
Individual
Pediatrics615 E PRINCETON ST STE 400
ORLANDO, FL 32803
(407) 894-8556
1942208673 SANGEETA BHARGAVA MD
Individual
Pediatrics (Pediatric Gastroenterology)615 E PRINCETON ST SUITE 510
ORLANDO, FL 32803
(407) 898-1210
1073567681DR. CARL ROBERT BARR DO
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)615 E PRINCETON ST STE 225
ORLANDO, FL 32803
(407) 897-3544
1699703082 RICHARD D SIGNER MD
Individual
Specialist615 E PRINCETON ST STE 300
ORLANDO, FL 32803
(407) 228-4774
1477585123 MURTUZA KOTHAWALA MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)615 E PRINCETON ST SUITE # 225
ORLANDO, FL 32803
(407) 897-3544
1225052905DR. YASMINE NATALIE KAREEM M.D.
Individual
Obstetrics & Gynecology615 E PRINCETON ST STE 101
ORLANDO, FL 32803
(407) 898-9922
1063423408 AHMED M AL-MALT M.D.
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)615 E PRINCETON ST SUITE 240
ORLANDO, FL 32803
(407) 897-3737
1245241546FETAL DIAGNOSTIC CENTER OF ORLANDO, INC.
Organization
Obstetrics & Gynecology (Maternal & Fetal Medicine)615 E PRINCETON ST SUITE 240
ORLANDO, FL 32803
(407) 897-3737
1538278395MS. PAULA L. JAMESON ARNP
Individual
Nurse Practitioner (Family)615 E PRINCETON ST SUITE 101
ORLANDO, FL 32803
(407) 896-2901
1134203227MS. MARY ALICE MACKENZIE LEINBACH ARNP, CPNP
Individual
Nurse Practitioner (Pediatrics)615 E PRINCETON ST SUITE 310
ORLANDO, FL 32803
(407) 898-2767
1144360496DR. HERDLEY O PAOLINI PHD
Individual
Psychologist (Clinical)615 E PRINCETON ST SUITE 410
ORLANDO, FL 32803
(407) 303-9674
1225164833PAUL A MANCUSO MD PA
Organization
Legal Medicine615 E PRINCETON ST STE 510
ORLANDO, FL 32803
(407) 896-1100
1538358957 MARY CONNIE ISEMAN LCSW
Individual
Social Worker (Clinical)615 E PRINCETON ST SUITE 3-A
ORLANDO, FL 32803
(407) 898-2990
1902160070 MOIRA LEAH AL-MALT R.N.
Individual
Registered Nurse (Diabetes Educator)615 E PRINCETON ST SUITE 240
ORLANDO, FL 32803
(407) 897-3737
1942418991DR. PABLO GOMEZ III M.D.
Individual
Urology (Pediatric Urology)615 E PRINCETON ST SUITE 310
ORLANDO, FL 32803
(407) 303-5781
1376869529 JOO HEE SEO M.D.
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)615 E PRINCETON ST SUITE 540
ORLANDO, FL 32803
(407) 303-8127
1447369202DR. MICHAEL A. KEATING MD
Individual
Urology (Pediatric Urology)615 E PRINCETON ST SUITE 310
ORLANDO, FL 32803
(407) 303-5781
1326061862 KI HYEONG LEE MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)615 E PRINCETON ST SUITE 540
ORLANDO, FL 32803
(407) 303-8127
1306878806 JAMES BAUMGARTNER M.D.
Individual
Neurological Surgery615 E PRINCETON ST SUITE 540
ORLANDO, FL 32803
(407) 236-0006
1912932138PEDIATRIC GASTROENTEROLOGY OF CENTRAL FLORIDA PA
Organization
Pediatrics (Pediatric Gastroenterology)615 E PRINCETON ST SUITE 510
ORLANDO, FL 32803
(407) 898-1210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215280037, enumerated in the NPI registry as an "individual" on October 17, 2012

The provider is located at 615 E Princeton St Suite 510 Orlando, Fl 32803 and the phone number is (407) 898-1210

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 17, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.