Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grantley Ittera, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1619223666

Grantley Ittera, APRN is a Nurse Practitioner in Orlando, Florida. Qualified in 2022, 4 years ago. Practices with Tri County Psychiatric Associates, PA, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

101 E Miller St
Orlando, FL 32806-2123
Phone: (407) 246-6620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11023199 (FL)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN933083 (FL)

Record details

NPI number1619223666
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 27, 2012
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tri County Psychiatric Associates, P.A. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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