KATYA VICTORIA RIDORE (FNP) – Family Nurse Practitioner, NPI 1699331470

KATYA VICTORIA RIDORE (FNP) is a healthcare provider. based in Longwood, Florida. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. APRN11005676 (FL). The NPI Number for KATYA VICTORIA RIDORE (FNP) is 1699331470

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATYA VICTORIA RIDORE (FNP)
NPI
1699331470
Phone
(407) 637-5656
Address
315 S RONALD REAGAN BLVD
Enumeration Date
16 May 2019
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7185837736
Graduation Year
2019 (7 years ago)
PAC ID
4082949862
Group Practice PAC ID
1759353501
Professional Enrollment ID
I20190716003122
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for KATYA VICTORIA RIDORE (FNP)

  • 315 S RONALD REAGAN BLVD

    LONGWOOD, FL 327505404

    Phone: (407) 637-5656

    Type: Mailing

  • North Orange Blossom Trail, Orlando, Orange County, Florida, 32805-1100, United States

    ORLANDO, FL 328101025

    Phone: (407) 602-1100

    Type: Mailing

  • 118 W STATE ROAD 434

    WINTER SPRINGS, FL 327082551

    Phone: (914) 340-3084

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190716003122INurse PractitionerNYTBD
I20201009000110INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32750)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759353501View full group profile
NameSpecialtyState
Physician AssistantNY
U R O L O G YNJ
P O D I A T R YNY
Physician AssistantNY
Gastroenterology, Internal MedicineNY
-NY
P S Y C H I A T R YNY
Physician AssistantNY
-NY
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

How is KATYA VICTORIA RIDORE (FNP) identified in CMS data?
CMS-hosted NPPES data lists KATYA VICTORIA RIDORE (FNP) with NPI 1699331470.
Can I rely on KATYA VICTORIA RIDORE (FNP) being an active provider?
As of the registry snapshot, KATYA VICTORIA RIDORE (FNP) is marked active.
What is KATYA VICTORIA RIDORE (FNP) best known for clinically?
Directory data describes KATYA VICTORIA RIDORE (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KATYA VICTORIA RIDORE (FNP) based?
KATYA VICTORIA RIDORE (FNP) is tied to Longwood, Florida in the data we show; additional addresses may exist on the full record.
Why does KATYA VICTORIA RIDORE (FNP) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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