Daryl Burrell, MS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

901 Douglas Ave Ste 205
Altamonte Springs, FL 32714-2057

Phone

(407) 703-5959

NPI assigned

Jul 17, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• The Destiny TCM Corporation

  • Case Management Agency
  • Altamonte Springs, FL
  • NPI 1487917258
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1083969067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOUGLAS AVENUE SUITE 205",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32871",
            "telephone_number": "407-703-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOUGLAS AVE STE 205",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142057",
            "telephone_number": "407-703-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "DARYL",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003019000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003564600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arnold Diaz Burdeos, RPT
• John Burke, MD, PHD
• Nicole Burkett, PTA
• Alaysia Ti'Onne Burns, RBT
• Emma Jane Burns
• Chelsea Burrows, LCSW
• Juliet Dana Burry, M.D.
• Patricia Kristine Bush, M.A. ,LMHC, BCBA
• Melissa Bustillo
• Peter Alan Butkins, PHD

• Case Manager/Care Coordinator in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.