Individual provider Active NPI

Damonte Drenner

  • Pastoral Counselor
  • Orlando, FL
National Provider Identifier
1083804348
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
8023 Chianti Dr
Orlando, FL 32836-5305
Phone
(321) 663-4517
Fax
(407) 909-9266
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X Primary

Addresses

Primary practice location

8023 Chianti Dr
Orlando, FL 32836-5305

Mailing address

8023 Chianti Dr
Orlando, FL 32836-5305
Phone (321) 663-4517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1083804348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 CHIANTI DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365305",
            "telephone_number": "321-663-4517",
            "fax_number": "407-909-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 CHIANTI DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365305",
            "telephone_number": "321-663-4517",
            "fax_number": "407-909-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENNER",
        "first_name": "DAMONTE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.