Individual provider Active NPI

Christina Daly, FNP-BC

  • Family Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1255153250
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035742 Issued in FL
Practice address
740 Concourse Pkwy S Ste 200
Maitland, FL 32751-8101
Phone
(407) 644-4222
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 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 11035742 FL Primary

Addresses

Primary practice location

740 Concourse Pkwy S Ste 200
Maitland, FL 32751-8101

Mailing address

349 Island Sound CT
Longwood, FL 32779-4896
Phone (407) 340-2229

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
I20250129002155 FL Practitioner - Nurse Practitioner 7315476736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

740 Concourse Pkwy S
Suite 100
Maitland, FL 32751-8101
Phone (407) 644-4222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035742FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC CurrentSince May 1, 2026 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Jan 6, 2025 Accepting new patients
Gastro Health, LLC CurrentSince May 1, 2026 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

8825 Perimeter Park Blvd
Ste 102
Jacksonville, FL 32216
Phone (904) 399-4004

740 Concourse Pkwy S
Ste 200
Maitland, FL 32751
Phone (407) 644-4014

740 Concourse Pkwy S
Ste 100
Maitland, FL 32751
Phone (407) 644-4222

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1255153250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 ISLAND SOUND CT",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794896",
            "telephone_number": "407-340-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 CONCOURSE PKWY S STE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327518101",
            "telephone_number": "407-644-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "CHRISTINA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.