Individual provider Active NPI

Adrienne Beth Dolinky, ARNP

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1194783324
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9189535 Issued in FL
Practice address
10 Florida Park Dr N
Suite B
Palm Coast, FL 32137-3892
Phone
(386) 447-1803
Fax
(386) 447-1842
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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 ARNP 9189535 FL Primary

Addresses

Primary practice location

10 Florida Park Dr N
Suite B
Palm Coast, FL 32137-3892

Mailing address

10 Florida Park Dr N
Suite B
Palm Coast, FL 32137-3892
Phone (386) 447-1803

Other identifiers 2

IdentifierTypeStateIssuer
U0347UOtherFLMEDICARE ID
305578700MedicaidFL

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
I20040707000630 FL Practitioner - Nurse Practitioner 4486631421 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9189535FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle of Health Family Practice LLC CurrentSince Jun 1, 2007 Accepting new patients
Phoenix Primary Care LLC CurrentSince May 24, 2020 Accepting new patients

Locations

26B Office Park Dr
Palm Coast, FL 32137
Phone (386) 597-2861

10 Florida Park Dr N
Ste B
Palm Coast, FL 32137
Phone (386) 445-3355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21865/brand/1/csg/21/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1194783324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FLORIDA PARK DR N",
            "address_2": "SUITE B",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373892",
            "telephone_number": "386-447-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FLORIDA PARK DR N",
            "address_2": "SUITE B",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373892",
            "telephone_number": "386-447-1803",
            "fax_number": "386-447-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLINKY",
        "first_name": "ADRIENNE",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9189535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "U0347U",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305578700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.