Individual provider Active NPI

Danae O'Halloran

  • Family Nurse Practitioner
  • Lakewood Ranch, FL
National Provider Identifier
1003776915
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11042233 Issued in FL
Practice address
17740 Savory Mist Cir
Lakewood Ranch, FL 34211-5564
Phone
(908) 910-1100
NPI assigned
Nov 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 11042233 FL Primary

Addresses

Primary practice location

17740 Savory Mist Cir
Lakewood Ranch, FL 34211-5564

Mailing address

17740 Savory Mist Cir
Lakewood Ranch, FL 34211-5564
Phone (908) 910-1100

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
I20260112000931 FL Practitioner - Nurse Practitioner 3375029127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Gastroenterology PAGroup PAC ID 2062562713, 12 clinicians

Practice addresses (Care Compare)

8610 E State Rd
Suite 70
Bradenton, FL 34202-3785
Phone (941) 242-1929

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11042233FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Gastroenterology PA CurrentSince Dec 8, 2025 Accepting new patients

Locations

8610 State Road 70 E
Bradenton, FL 34202
Phone (941) 242-1929

7441 US 27 N
Sebring, FL 33870
Phone (863) 382-0385

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1003776915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17740 SAVORY MIST CIR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342115564",
            "telephone_number": "908-910-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17740 SAVORY MIST CIR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342115564",
            "telephone_number": "908-910-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HALLORAN",
        "first_name": "DANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11042233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.