Individual provider Active NPI

Theresa W Dryden, ANP-C

  • Adult Health Nurse Practitioner
  • Callahan, FL
National Provider Identifier
1164408233
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11001549 Issued in FL
Practice address
449621 US Highway 301 Ste 110
Callahan, FL 32011-9348
Phone
(904) 507-2692
Fax
(904) 507-2693
NPI assigned
Dec 20, 2005
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11001549 FL Primary

Addresses

Primary practice location

449621 US Highway 301 Ste 110
Callahan, FL 32011-9348

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 1

IdentifierTypeStateIssuer
NP0241MedicaidSC

Other names 1

  • Mrs. Theresa W Hardin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address theresa.dryden.2@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070208000152 SC Practitioner - Nurse Practitioner 2961491766 Reassigns benefits to 1 organization
I20191004000762 FL Practitioner - Nurse Practitioner 2961491766 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

449621 W Hwy 301
Suite 110
Callahan, FL 32011-9348
Phone (904) 507-2692

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11001549FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Hospital, Inc. CurrentSince May 19, 2011 Accepting new patients
Roper Hospital Inc. CurrentSince May 19, 2011 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Midway Specialty Care Center Inc CurrentSince Sep 23, 2019 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Jun 9, 2025 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince May 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 1, 2024 Accepting new patients

Locations

449621 US Highway 301
#110
Callahan, FL 32011
Phone (904) 507-2692

356 E Midway Rd
Fort Pierce, FL 34982
Phone (772) 464-9746

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: tdryden705347@direct.shands.ufl.edu
  • Direct secure messaging: theresa.dryden.1@29601.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1164408233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000",
            "fax_number": "305-500-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449621 US HIGHWAY 301 STE 110",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320119348",
            "telephone_number": "904-507-2692",
            "fax_number": "904-507-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRYDEN",
        "first_name": "THERESA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11001549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0241",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "theresa.dryden.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "449621 US Highway 301 Ste 110",
            "city": "Callahan",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320119348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "HARDIN",
            "middle_name": "W",
            "prefix": "MRS.",
            "credential": "ANP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Callahan, FL

Sources for this page

Verify at the official NPI Registry.