VI DO

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11040652 Issued in FL

Practice address

4500 Hodges Blvd Ste 1
Jacksonville, FL 32224-2345

Phone

(904) 347-2773

NPI assigned

Nov 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vi.do.1@10117.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/10117/brand/1/csg/1/fhir/r4

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.

• Starfish Pediatrics PA

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1447508478
  NPD (past)

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1093684656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3396 DOUBLE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322773833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HODGES BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242345",
            "telephone_number": "904-347-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "VI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11040652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dna Comprehensive Therapy Services, LLC
• Dnago LLC
• DNS Waiver Support Coordinator
• Nguyen DO, D.D.S.
• Van Thuy DO, PHARMD
• Binh Q Doan, MD
• Khoa Doan, PHARMD
• Kim N. Doan, DMD
• Tad C Doan, DO
• Mark Alan Dobbertien, D.O.

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.