Active NPI
Doreen Dale Gall, A.R.N.P.
- Adult Health Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 3189902
- Practice address
- 7620 Lake Underhill Rd
Orlando, FL 32822-8223 - Phone
- (321) 235-0692
- Fax
- (321) 235-0694
- NPI assigned
- Feb 4, 2013
- Last updated
- Dec 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3189902 | FL | Primary |
| Hospice Registered Nurse | 163WH1000X | 3189902 | FL |
Addresses
Primary practice location
7620 Lake Underhill Rd
Orlando, FL 32822-8223
Mailing address
6318 Plymouth Sorrento Rd
Apopka, FL 32712-5162
Phone (352) 636-8042
Other practice location 1
6318 Plymouth Sorrento Rd
Apopka, FL 32712-5162
Phone (352) 636-8042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
218 Laurel Creek CT
Spruce Pine, NC 28777-3134
Phone (828) 765-7312
715 E Dixie Ave
Leesburg, FL 34748-5926
Phone (352) 728-3020
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3189902 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shakti Narain MD PA | Current | Accepting new patients | |
| Jacob Medical Associates LLC | Current | Accepting new patients | |
| NP Health of FL LLC | Current | Accepting new patients |
Locations
151 E Minnehaha Ave
Clermont, FL 34711
Phone (352) 394-2188
4842 SW Archer Rd
Gainesville, FL 32608
Phone (352) 367-9700
13838 N US Highway 441
Lady Lake, FL 32159
Phone (352) 323-8868
1070 Flagler Ave
Leesburg, FL 34748
Phone (352) 365-2550
700 N Palmetto St
Leesburg, FL 34748
Phone (352) 323-2400
715 E Dixie Ave
Leesburg, FL 34748
Phone (352) 326-7999
14155 Town Loop Blvd
Orlando, FL 32837
Phone (407) 234-0670
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
Interoperability endpoints
- https://api.platform.athenahealth.com/22130/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/BHDJBA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Morton Grove, IL
- NPI 1437736881
NC
-
- Geriatric Medicine (Internal Medicine) Physician
- Clermont, FL
- NPI 1174714414
-
- Pulmonary Disease Physician
- Leesburg, FL
- NPI 1073845459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1053650507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6318 PLYMOUTH SORRENTO RD",
"city": "APOPKA",
"state": "FL",
"postal_code": "327125162",
"telephone_number": "352-636-8042",
"fax_number": "407-814-7759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7620 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328228223",
"telephone_number": "321-235-0692",
"fax_number": "321-235-0694"
}
],
"practiceLocations": [
{
"address_1": "6318 Plymouth Sorrento Rd",
"address_purpose": "LOCATION",
"city": "Apopka",
"state": "FL",
"postal_code": "327125162",
"country_code": "US",
"telephone_number": "352-636-8042",
"fax_number": "407-814-7759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALL",
"first_name": "DOREEN",
"middle_name": "DALE",
"name_prefix": "Mrs.",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-04",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "3189902",
"primary": true
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "FL",
"license": "3189902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.