Individual provider Active NPI

Dorothy R Budetti, A.R.N.P.

  • Nurse Practitioner
  • Dade City, FL
National Provider Identifier
1023082476
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1576702 Issued in FL
Practice address
13941 15TH St
Dade City, FL 33525-4010
Phone
(352) 521-1450
Fax
(352) 523-6910
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP1576702 FL Primary

Addresses

Primary practice location

13941 15TH St
Dade City, FL 33525-4010

Mailing address

13941 15TH St
Dade City, FL 33525-4010
Phone (352) 521-1450

Other identifiers 2

IdentifierTypeStateIssuer
300923800MedicaidFL
Y041NOtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1023082476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13941 15TH ST",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254010",
            "telephone_number": "352-521-1450",
            "fax_number": "352-523-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13941 15TH ST",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254010",
            "telephone_number": "352-521-1450",
            "fax_number": "352-523-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDETTI",
        "first_name": "DOROTHY",
        "middle_name": "R",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1576702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300923800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y041N",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.