Active NPI
Donna Malkovich Aprn LLC
- Family Nurse Practitioner
- Seminole, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- DONNA MALKOVICH APRN LLC
- Practice address
- 11125 Park Blvd Ste 118
Seminole, FL 33772-4700 - Phone
- (727) 688-9968
- NPI assigned
- Oct 14, 2019
- Organization subpart
- Yes
- Parent organization
- DONNA MALKOVICH APRN LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Donna Zvezdana Malkovich, APRN
- Title
- Aprn/ Owner
- Phone
- (727) 688-9968
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
11125 Park Blvd Ste 118
Seminole, FL 33772-4700
Mailing address
11925 Mandarin CT
Seminole, FL 33772-3435
Phone (727) 688-9968
Other practice location 1
9011 Park Blvd, Seminole, FL 33777, United States
Suite 209
Seminole, FL 33777-3377
Phone (727) 688-9968
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmalkovichaprn2015@fnp-c.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Donna Malkovich Aprn LLC
Locations
11125 Park Blvd
Ste 118
Seminole, FL 33772
Phone (727) 688-9968
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Seminole, FL
- NPI 1922453067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627862400000",
"number": "1285276964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11925 MANDARIN CT",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337723435",
"telephone_number": "727-688-9968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11125 PARK BLVD STE 118",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337724700",
"telephone_number": "727-688-9968"
}
],
"practiceLocations": [
{
"address_1": "9011 Park Blvd, Seminole, FL 33777, United States",
"address_2": "Suite 209",
"address_purpose": "LOCATION",
"city": "Seminole",
"state": "FL",
"postal_code": "337773377",
"country_code": "US",
"telephone_number": "727-688-9968",
"fax_number": "727-290-9942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DONNA MALKOVICH APRN LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DONNA MALKOVICH APRN LLC",
"enumeration_date": "2019-10-14",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A",
"authorized_official_last_name": "MALKOVICH",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "ZVEZDANA",
"authorized_official_title_or_position": "APRN/ OWNER",
"authorized_official_telephone_number": "727-688-9968",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmalkovichaprn2015@fnp-c.com",
"affiliation": "N",
"endpointDescription": "secured business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Secure email address",
"address_1": "9011 Park Blvd, Seminole, FL 33777, United States",
"address_2": "Suite 209",
"city": "Seminole",
"state": "FL",
"country_code": "US",
"postal_code": "337773377",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.