Individual provider Active NPI

Dianne Baldwin, ARNP

  • Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1134221997
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP9174970 Issued in FL
Practice address
4161 Tamiami TRL
Suite 701
Port Charlotte, FL 33952-9204
Phone
(941) 629-5356
Fax
(941) 629-4987
NPI assigned
Sep 2, 2006
Last updated
Jul 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP9174970 FL Primary

Addresses

Primary practice location

4161 Tamiami TRL
Suite 701
Port Charlotte, FL 33952-9204

Mailing address

4161 Tamiami TRL
Suite 701
Port Charlotte, FL 33952-9204
Phone (941) 629-5356

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
I20090205000542 FL Practitioner - Nurse Practitioner 3274697222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peace River Cardiovascular CenterGroup PAC ID 1052673910, 8 clinicians

Practice addresses (Care Compare)

4161 Tamiami TRL
Suite 701
Port Charlotte, FL 33952-9283
Phone (941) 629-5356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP9174970FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peace River Cardiovascular Center CurrentSince Mar 1, 2018 Accepting new patients
Inpatient Consultants of Florida, Inc Nurse Practitioner CurrentSince Dec 1, 2014 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Dec 1, 2014 Accepting new patients
Inpatient Consultants of Florida, Inc. Nurse Practitioner Past Accepting new patients

Locations

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

4161 Tamiami Trl
Ste 701
Pt Charlotte, FL 33952
Phone (941) 255-1084

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 N Rocky Point Dr W
Ste 670
Tampa, FL 33607
Phone (813) 289-6597

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • Direct secure messaging: clinical@prcvcfl.directbygreenway.com

Organizations & group practices 4

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1134221997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL",
            "address_2": "SUITE 701",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529204",
            "telephone_number": "941-629-5356",
            "fax_number": "941-629-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL",
            "address_2": "SUITE 701",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529204",
            "telephone_number": "941-629-5356",
            "fax_number": "941-629-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "DIANNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "NP9174970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.