Active NPI
Diane M. Wink, FNP, ANRP
- Family Nurse Practitioner
- Orlando, FL
National Provider Identifier
1104058205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 84811-2
- Practice address
- 4000 Central Florida Blvd
Orlando, FL 32816-2210 - Phone
- (407) 823-2744
- Fax
- (407) 823-5675
- NPI assigned
- Aug 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 84811-2 | FL | Primary |
Addresses
Primary practice location
4000 Central Florida Blvd
Orlando, FL 32816-2210
Mailing address
14531 Gainesborough Dr
Orlando, FL 32826-4003
Phone (407) 924-5642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 84811-2 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250985600000",
"number": "1104058205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14531 GAINESBOROUGH DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328264003",
"telephone_number": "407-924-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CENTRAL FLORIDA BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328162210",
"telephone_number": "407-823-2744",
"fax_number": "407-823-5675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINK",
"first_name": "DIANE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "FNP, ANRP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-23",
"last_updated": "2009-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 84811-2",
"primary": true
}
],
"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 Aug 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.