Active NPI
NP on Duty LLC
- Family Nurse Practitioner
- Brandon, FL
National Provider Identifier
1013789718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Leonne M Deravine
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- New Port Richey, FL
- NPI 1245678119
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.