Individual provider Active NPI

Danielle Telhiard Lonsway, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1265080204
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112572 Issued in FL
Practice address
10743 Narcoossee Rd Ste A18
Orlando, FL 32832-6947
Phone
(407) 277-1900
Fax
(407) 277-1888
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9112572 FL Primary

Addresses

Primary practice location

10743 Narcoossee Rd Ste A18
Orlando, FL 32832-6947

Mailing address

10743 Narcoossee Rd Ste A18
Orlando, FL 32832-6947
Phone (407) 277-1900

Other practice location 1

100 N Dean Rd
Orlando, FL 32825-3710
Phone (407) 277-1900

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMDS

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
I20200127000360 FL Practitioner - Physician Assistant 7113352824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cerebrum Healthcare LLCGroup PAC ID 8729341847, 19 clinicians

Practice addresses (Care Compare)

3055 Union St
Clearwater, FL 33759-1623
Phone (727) 260-2826

3190 Tyrone Blvd N
Parc Center for Disabilities
St. Petersburg, FL 33710-2919
Phone (727) 345-9111

3225 S Macdill Ave
Suite 129/300
Tampa, FL 33629-8171

3297 State Rd
Suite 580
Safety Harbor, FL 34695-4929
Phone (727) 724-3776

37411 Eiland Blvd
Rosecastle of Zephyrhills
Zephyrhills, FL 33542-1800
Phone (813) 783-8100

3840 Atmore Grove Dr
Lutz, FL 33548-7903
Phone (813) 607-3600

5121 E Serena Dr
Palm Terrace Alf
Tampa, FL 33617-4012
Phone (813) 988-0033

6411 46TH Ave N
Baytree Lakeside Assisted Living Facility
St Petersburg, FL 33709-3105
Phone (727) 545-0623

901 Clearwater Largo Rd N
Encompass Health Rehabilitaton Hospital of
Largo, FL 33770-4126
Phone (727) 586-2999

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1265080204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10743 NARCOOSSEE RD STE A18",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326947",
            "telephone_number": "407-277-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10743 NARCOOSSEE RD STE A18",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326947",
            "telephone_number": "407-277-1900",
            "fax_number": "407-277-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Dean Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328253710",
            "country_code": "US",
            "telephone_number": "407-277-1900",
            "fax_number": "407-277-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONSWAY",
        "first_name": "DANIELLE",
        "middle_name": "TELHIARD",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMDS",
            "affiliation": "N",
            "address_1": "10743 Narcoossee Rd Ste A18",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328326947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.