Individual provider Active NPI

Donna-Marie Phyllis Lanton, APRN

  • Adult Health Nurse Practitioner
  • Casselberry, FL
National Provider Identifier
1093007130
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9181760 Issued in FL
Practice address
985 Sr 436
Casselberry, FL 32707-5994
Phone
(407) 831-5252
Fax
(407) 831-3390
NPI assigned
May 9, 2011
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN9181760 FL Primary

Addresses

Primary practice location

985 Sr 436
Casselberry, FL 32707-5994

Mailing address

985 Sr 436
Casselberry, FL 32707-5994
Phone (407) 831-5252

Other identifiers 1

IdentifierTypeStateIssuer
005451700MedicaidFL

Other names 1

  • Donna-Marie Phyllis Gray Former name

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
I20260115000803 FL Order and Referring Only - Nurse Practitioner 9638347842

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Cadillac Dr
Suite 300
Brentwood, TN 37027-5272

1347 Shallcross Ave
Orlando, FL 32828-6839

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: donnamarielanton@cfppgpl.allscriptsdirect.net

Hospital & facility affiliations 1

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1093007130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 SR 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075994",
            "telephone_number": "407-831-5252",
            "fax_number": "407-831-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 SR 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075994",
            "telephone_number": "407-831-5252",
            "fax_number": "407-831-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTON",
        "first_name": "DONNA-MARIE",
        "middle_name": "PHYLLIS",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9181760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005451700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA-MARIE",
            "last_name": "GRAY",
            "middle_name": "PHYLLIS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.