Individual provider Active NPI

Wendy Michele Damato, FNP-C, PMHNP-BC

  • Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1285065060
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9175465 Issued in FL
Practice address
5008 Sr 64 East
Bradenton, FL 34208
Phone
(941) 896-5845
Fax
(941) 896-3082
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN9175465 FL
Family Nurse Practitioner 363LF0000X F1113309 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021015855 FL
Nurse Practitioner 363L00000X APRN9175465 FL Primary

Addresses

Primary practice location

5008 Sr 64 East
Bradenton, FL 34208

Mailing address

5008 Sr 64 East
Bradenton, FL 34208
Phone (941) 896-5845

Other names 1

  • Wendy Michele Fleming Former name

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
I20150505000509 FL Practitioner - Nurse Practitioner 7012236565 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Ashit K Vijapura MD PAGroup PAC ID 8527198555, 10 clinicians

Practice addresses (Care Compare)

5008 E State Rd
Suite 64
Bradenton, FL 34208-5522
Phone (941) 896-5845

802 W Dr Martin Luther King Jr Blvd
Suite D
Plant City, FL 33563-5105
Phone (813) 754-1496

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9175465FLMDAdministrator Registered Nurse
APRN9175465FLMDNurse Practitioner
F1113309FLMDFamily Nurse Practitioner
2021015855FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashit K Vijapura MD PA CurrentSince Aug 1, 2020 Accepting new patients
LCS Medicine CurrentSince Jan 1, 2016 Accepting new patients
Continuum Healthcare Providers West Florida LLC Family CurrentSince Jan 8, 2019 Accepting new patients
Jorge L Perez Polanco MD Inc CurrentSince Mar 10, 2015 Accepting new patients

Locations

5008 E State Road 64
Bradenton, FL 34208
Phone (941) 896-5845

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

802 W Dr Martin Luther King Jr Blvd
Ste D
Plant City, FL 33563
Phone (813) 707-9101

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21347/brand/1/csg/1/fhir/r4
  • Direct secure messaging: wendy.damato@daleyandassociatesprimemedoftam.chartmakerdirect.com

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.

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": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1285065060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 SR 64 EAST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-896-5845",
            "fax_number": "941-896-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 SR 64 EAST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-896-5845",
            "fax_number": "941-896-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMATO",
        "first_name": "WENDY",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "RN9175465",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F1113309",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2021015855",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9175465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "FLEMING",
            "middle_name": "MICHELE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.