Individual provider Active NPI

Danielle Alexis Brunson, DNP APRN FNP-BC

  • Family Nurse Practitioner
  • Fleming Island, FL
National Provider Identifier
1154056018
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019555 Issued in FL
Practice address
1747 Baptist Clay Dr Ste 230
Fleming Island, FL 32003-8505
Phone
(904) 592-1068
NPI assigned
Jul 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11019555 FL Primary

Addresses

Primary practice location

1747 Baptist Clay Dr Ste 230
Fleming Island, FL 32003-8505

Mailing address

121 W Macclenny Ave
Macclenny, FL 32063-2029
Phone (904) 259-6380

Other practice location 1

1536 N Jefferson St
Jacksonville, FL 32209-6525
Phone (904) 475-5800 ext. 5966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1154056018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W MACCLENNY AVE",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632029",
            "telephone_number": "904-259-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 BAPTIST CLAY DR STE 230",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038505",
            "telephone_number": "904-592-1068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1536 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096525",
            "country_code": "US",
            "telephone_number": "904-475-5800 x5966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "DANIELLE",
        "middle_name": "ALEXIS",
        "credential": "DNP APRN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-23",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.