Individual provider Active NPI

Donna Disanti, APRN

  • Family Nurse Practitioner
  • Plant City, FL
National Provider Identifier
1003063538
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN2940562 Issued in FL
Practice address
508 N Alexander St
Suite 1
Plant City, FL 33563-3036
Phone
(813) 759-6607
Fax
(813) 759-8997
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN2940562 FL Primary

Addresses

Primary practice location

508 N Alexander St
Suite 1
Plant City, FL 33563-3036

Mailing address

3001 Executive Dr Ste 130
Clearwater, FL 33762-5323
Phone (727) 347-0005

Other identifiers 1

IdentifierTypeStateIssuer
ARNP2940562OtherFLSTATE LIC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090203000186 FL Practitioner - Nurse Practitioner 6901960160 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN2940562FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Systems, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Gastro Florida Pharmacy, LLC CurrentSince Sep 4, 2022 Accepting new patients
West Central Gastroenterology LLP CurrentSince Apr 1, 2022 Accepting new patients

Locations

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

508 N Alexander St
Ste 1
Plant City, FL 33563
Phone (813) 759-6607

508 N Alexander St
Plant City, FL 33563
Phone (813) 759-6607

37908 Daughtery Rd
Ste A
Zephyrhills, FL 33541
Phone (813) 780-8620

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1003063538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EXECUTIVE DR STE 130",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625323",
            "telephone_number": "727-347-0005",
            "fax_number": "727-541-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N ALEXANDER ST",
            "address_2": "SUITE 1",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633036",
            "telephone_number": "813-759-6607",
            "fax_number": "813-759-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISANTI",
        "first_name": "DONNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2940562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC.",
            "identifier": "ARNP2940562",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.