Organization Active NPI

NP on Duty LLC

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1013789718
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NP ON DUTY LLC
Practice address
911 S Parsons Ave Ste H
Brandon, FL 33511-6042
Phone
(813) 729-4269
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Ms. Leonne M DeravineNPI 1245678119
Title
Owner
Phone
(813) 278-2044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

911 S Parsons Ave Ste H
Brandon, FL 33511-6042

Mailing address

911 S Parsons Ave Ste H
Brandon, FL 33511-6042
Phone (813) 729-4269

Other names 1

  • NP ON DUTY LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231218003752 FL Part B Supplier - Clinic/Group Practice 3476902362 Receives reassigned benefits from 1 practitioner
Practice locations: Sun City Center, FL

National Provider Directory

National Provider Directory

Locations

911 S Parsons Ave
Brandon, FL 33511

911 S Parsons Ave
Ste H
Brandon, FL 33511
Phone (813) 278-2044

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1013789718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S PARSONS AVE STE H",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116042",
            "telephone_number": "813-729-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S PARSONS AVE STE H",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116042",
            "telephone_number": "813-729-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP ON DUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "DERAVINE",
        "authorized_official_first_name": "LEONNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-278-2044",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NP ON DUTY LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NP ON DUTY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.