Active NPI
Dara Bornstein Trafka, CNM
- Advanced Practice Midwife
- Orlando, FL
National Provider Identifier
1164061156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN11005908
- Practice address
- 1116 Lucerne Ter
Orlando, FL 32806-1017 - Phone
- (407) 316-8550
- Fax
- (407) 316-8311
- NPI assigned
- Dec 23, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APRN11005908 | FL | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | APRN11005908 | FL |
Addresses
Primary practice location
1116 Lucerne Ter
Orlando, FL 32806-1017
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Other practice location 1
4761 S Cleveland Ave
Fort Myers, FL 33907-1375
Phone (239) 343-6100
Other practice location 2
15901 Bass Rd Ste 100
Fort Myers, FL 33908-3838
Phone (239) 343-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105413500 | Medicaid | FL |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11005908 | FL | MD | Women's Health Nurse Practitioner |
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1164061156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 LUCERNE TER",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061017",
"telephone_number": "407-316-8550",
"fax_number": "407-316-8311"
}
],
"practiceLocations": [
{
"address_1": "4761 S Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339071375",
"country_code": "US",
"telephone_number": "239-343-6100",
"fax_number": "239-343-9727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15901 Bass Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339083838",
"country_code": "US",
"telephone_number": "239-343-6100",
"fax_number": "239-343-9925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAFKA",
"first_name": "DARA",
"middle_name": "BORNSTEIN",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-23",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN11005908",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "APRN11005908",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105413500",
"state": "FL"
}
],
"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 Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.