Individual provider Active NPI

Athena Demooy, APRN

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1275117152
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11013058 Issued in FL
Practice address
350 7TH St N
Naples, FL 34102-5754
Phone
(239) 624-6800
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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 11013058 FL Primary

Addresses

Primary practice location

350 7TH St N
Naples, FL 34102-5754

Mailing address

168 4TH St
Naples, FL 34113-8536
Phone (239) 331-9620

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
I20210526001946 FL Practitioner - Nurse Practitioner 8729487640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 552-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013058FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Jul 19, 2023 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Jul 19, 2023 Accepting new patients
Hobdari Family Health LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

1855 Veterans Park Dr
Ste 201
Naples, FL 34109
Phone (239) 260-1033

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3809/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1275117152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 4TH ST",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341138536",
            "telephone_number": "239-331-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-624-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOOY",
        "first_name": "ATHENA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.