Dara Madelyn Vino, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9113919 Issued in FL

Practice address

156 N 4TH St
Lake Mary, FL 32746-2963

Phone

(407) 644-2990

Fax

(407) 644-4370

NPI assigned

Mar 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2022 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dara.vino.1@15168.direct.athenahealth.com

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.

• Whole Family Healthcare PA

  • Acupuncturist
  • Winter Park, FL
  • NPI 1811222508
  NPD (past)
• Portercare Adventist Health System

  • Urology Physician
  • Lakewood, CO
  • NPI 1942165626
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1023288917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 N 4TH ST",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462963",
            "telephone_number": "407-644-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 N 4TH ST",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462963",
            "telephone_number": "407-644-2990",
            "fax_number": "407-644-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINO",
        "first_name": "DARA",
        "middle_name": "MADELYN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-936",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA-2744",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikram P Mehta MD PA
• Edwin Manuel Villalobos, M.D.
• Villar Neuropsychology, LLC
• Rebecca C Villar, PSYD
• Kelley Elise Villegas, OTR
• Vista Employee Assistance & Counseling Inc
• Vitalgenix Health & Wellness, LLC
• Volusia County Podiatry Inc
• Volusia-Flagler Caregivers, Inc.
• Voncare, LLC

• All providers in Lake Mary, FL
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.