Individual provider Active NPI

Dianne Marie David

  • Registered Nurse
  • Deland, FL
National Provider Identifier
1285149229
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9303460 Issued in FL
Practice address
701 W Plymouth Ave
Deland, FL 32720-3236
Phone
(386) 943-4650
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9303460 FL Primary

Addresses

Primary practice location

701 W Plymouth Ave
Deland, FL 32720-3236

Mailing address

PO Box 621795
Oviedo, FL 32762-1795

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
I20180514000779 FL Practitioner - Nurse Practitioner 5698039923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Associates of Ormond Beach PAGroup PAC ID 1355324047, 8 clinicians

Practice addresses (Care Compare)

8 Mirror Lake Dr
Suite a
Ormond Beach, FL 32174-3102
Phone 3866732500227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9303460FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kashyap Patel MD PA CurrentSince Apr 23, 2018 Accepting new patients
Neurology Associates of Ormond Beach PA CurrentSince Jul 18, 2022 Accepting new patients
Volusia & Flagler OB-GYN PA Past Accepting new patients
Neurology Associates of Ormond Beach Past Accepting new patients

Locations

8 Mirror Lake Dr
Ste A
Ormond Beach, FL 32174
Phone (386) 673-2500

598 Sterthaus Dr
#C
Ormond Beach, FL 32174
Phone (386) 672-9683

325 Clyde Morris Blvd
Ste 340
Ormond Beach, FL 32174
Phone (386) 212-3273

8 Mirror Lake Dr
Ormond Beach, FL 32174
Phone (386) 673-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGHCCA
  • FHIR API: https://fhir.meditouchehr.com/api/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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1285149229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621795",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327621795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203236",
            "telephone_number": "386-943-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "DIANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9303460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.