IndividualActive
Emerald Russell-Nathan, MD
NPI 1174257299 · Pediatrics Physician · Tavares, FL
Provider details
- NPI number
- 1174257299
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME172692 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Waterman Way
Tavares, FL 32778-5266
Phone: (407) 975-0412
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Waterman Way
Tavares, FL 32778-5266
Additional practice locations (1)
- 2501 N Orange Ave Fl 3Orlando, FL 32804-4603Phone: (321) 947-5206
Registry dates
- Enumerated
- 2022-07-14
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.