Individual provider Active NPI

Toni Elizabeth Dupree, AGNP-BC

  • Primary Care Nurse Practitioner
  • Winter Garden, FL
National Provider Identifier
1306386560
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2016032390 Issued in GA
Practice address
14146 Jomatt Loop
Winter Garden, FL 34787-0116
Phone
(407) 757-4459
NPI assigned
Mar 6, 2017
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 2016032390 GA Primary

Addresses

Primary practice location

14146 Jomatt Loop
Winter Garden, FL 34787-0116

Mailing address

2079 Shaggy Fisher Dr
Apopka, FL 32712-3120
Phone (407) 757-4459

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
I20190621001429 FL Practitioner - Nurse Practitioner 7911275540 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016032390GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince Jun 6, 2022 Accepting new patients
Mid-South Home Care Services, LLC Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 6, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 6, 2022 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Jun 6, 2022 Accepting new patients
Accountableself LLC CurrentSince Jul 9, 2023 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2501 N Orange Ave
Ste 235
Orlando, FL 32804
Phone (407) 303-1967

4776 New Broad St
Ste 150
Orlando, FL 32814
Phone (407) 794-8382

5111 N 12th Ave
Ste B
Pensacola, FL 32504
Phone (850) 316-4882

950 S Dillard St
Ste A
Winter Garden, FL 34787
Phone (352) 816-2600

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1306386560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2079 SHAGGY FISHER DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123120",
            "telephone_number": "407-757-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14146 JOMATT LOOP",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347870116",
            "telephone_number": "407-757-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "TONI",
        "middle_name": "ELIZABETH",
        "credential": "AGNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "2016032390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.