Active NPI
Deena C Dorosheff, ARNP
- Nurse Practitioner
- Alachua, FL
National Provider Identifier
1104825496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9170108
- Practice address
- 14861 NW US Highway 441
Alachua, FL 32615-8203 - Phone
- (386) 462-1911
- Fax
- (386) 462-1943
- NPI assigned
- Jul 19, 2005
- Last updated
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9170108 | FL | Primary |
Addresses
Primary practice location
14861 NW US Highway 441
Alachua, FL 32615-8203
Mailing address
PO Box 606
Glen St Mary, FL 32040-0606
Phone (904) 653-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303211600 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9170108 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andres R. Villar MD | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1104825496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 606",
"city": "GLEN ST MARY",
"state": "FL",
"postal_code": "320400606",
"telephone_number": "904-653-1818",
"fax_number": "904-653-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14861 NW US HIGHWAY 441",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326158203",
"telephone_number": "386-462-1911",
"fax_number": "386-462-1943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOROSHEFF",
"first_name": "DEENA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9170108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303211600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alachua, FL
- Lauren Whitehead Depaola, MSW, LCSW
- Dna Chiropractic and Performance LLC (Dna Chiropractic and Performance)
- Anna Woodward Donahue, APRN
- Susan A Donaldson, MSN, ARNP
- Shawna Ann Doran, A.R.N.P.
- Makayla Durden, RN
- Vickie Dyal
- E. Fesmire, Crnfa, LLC
- Eastern Artists Expressive Therapies
- Kerry Ivan Edwards, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.