Individual provider Active NPI

Doris Gokool, APRN

  • Family Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1053543504
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN3221522 Issued in FL
Practice address
766 N Sun Dr Ste 3030
Lake Mary, FL 32746-2555
Phone
(074) 442-8004
Fax
(407) 444-2810
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3221522 FL
Family Nurse Practitioner 363LF0000X APRN3221522 FL Primary

Addresses

Primary practice location

766 N Sun Dr Ste 3030
Lake Mary, FL 32746-2555

Mailing address

807 S Orlando Ave Ste C
Winter Park, FL 32789-4870
Phone (407) 894-4693

Other identifiers 2

IdentifierTypeStateIssuer
3221522OtherFLAPRN LICENSE
APRN3221522OtherFLMEDICAL LICENSE

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
I20090909000702 FL Practitioner - Nurse Practitioner 3870648108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Central Florida, P.a.Group PAC ID 2567359375, 34 clinicians

Practice addresses (Care Compare)

4100 Metric Dr
Suite 200
Winter Park, FL 32792-6832
Phone (407) 681-8720

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3221522FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants, M.D., P.a. CurrentSince Jan 15, 2019 Accepting new patients
Orlando Immunology Center PA CurrentSince Jan 1, 2020 Accepting new patients
Nephrology Associates of Central Florida, P.a. CurrentSince Aug 31, 2009 Accepting new patients
The Healthcaring Clinic of Florida, LLC Family Past Accepting new patients
Renal Access of Central Florida LLC Past Accepting new patients

Locations

685 Palm Springs Dr
Ste 2A
Altamonte Springs, FL 32701
Phone (407) 830-5577

766 N Sun Dr
Ste 3030
Lake Mary, FL 32746
Phone (407) 444-2800

2501 N Orange Ave
Ste 537N
Orlando, FL 32804
Phone (407) 894-4693

807 S Orlando Ave
Ste C
Winter Park, FL 32789
Phone (407) 894-4693

4100 Metric Dr
Ste 200
Winter Park, FL 32792
Phone (407) 681-8720

Organizations & group practices 5

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 3

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": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1053543504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S ORLANDO AVE STE C",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894870",
            "telephone_number": "407-894-4693",
            "fax_number": "407-261-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 N SUN DR STE 3030",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462555",
            "telephone_number": "074-442-8004",
            "fax_number": "407-444-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOKOOL",
        "first_name": "DORIS",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3221522",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN3221522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "3221522",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "APRN3221522",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.