Michaela Mayol Dimain, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11008391 Issued in FL

Practice address

330 A1A N Ste 321
Ponte Vedra Beach, FL 32082-1826

Phone

(904) 280-0600

NPI assigned

Apr 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• First Coast Vein, LLC

  • Specialist
  • Ponte Vedra Beach, FL
  • NPI 1457755373
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1285216200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 DEVONDALE WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564832",
            "telephone_number": "904-554-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 A1A N STE 321",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821826",
            "telephone_number": "904-280-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAIN",
        "first_name": "MICHAELA",
        "middle_name": "MAYOL",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie P Desmond, M.A. SLP-CCC
• Carolyn Irene Dewane, RD,LD
• Diagnostic Imaging PA
• Jorge Andres Diaz, M.D.
• Cheryl Anne Dietly
• Adam Dimitrov, MD
• Andrea Distefano, FNP-BC
• Sarah Marie Dodds, OTR/L
• Emma Dorsett, PT, DPT
• Alisha Dionne Dowdy, CCC-SLP

• Family Nurse Practitioner in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.