Individual provider Active NPI

June-Ann Vanessa Dambreville, ARNP, FNP

  • Family Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1316310089
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9232625 Issued in FL
Practice address
745 Orienta Ave Ste 1191
Altamonte Springs, FL 32701-6609
Phone
(407) 331-6236
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9232625 FL Primary

Addresses

Primary practice location

745 Orienta Ave Ste 1191
Altamonte Springs, FL 32701-6609

Mailing address

2964 Santa Maria Ave
Clermont, FL 34715-8019
Phone (407) 406-4771

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
I20200302001935 FL Practitioner - Nurse Practitioner 7911267737 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9232625FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Care Hospice of Lake and Sumter Inc CurrentSince Jan 29, 2020 Accepting new patients
Compassionate Care Hospice of Lake and Sumter Inc CurrentSince Jan 29, 2020 Accepting new patients
Episource LLC CurrentSince Aug 19, 2020 Accepting new patients

Locations

500 W 190th St
Fl 4
Gardena, CA 90248
Phone (424) 292-2923

12332 Race Track Rd
Tampa, FL 33626
Phone (813) 756-4383

304 Lagrande Blvd
The Villages, FL 32159
Phone (352) 415-0773

3854 American Way
Ste A
Baton Rouge, LA 70816
Phone (225) 299-3253

Interoperability endpoints

  • Direct secure messaging: june-ann.dambreville.1@30520.direct.athenahealth.com
  • Direct secure messaging: juneann.dambreville.p1@direct.alegiscare.nextgenshare.com

Organizations & group practices 3

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1316310089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 SANTA MARIA AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347158019",
            "telephone_number": "407-406-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 ORIENTA AVE STE 1191",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016609",
            "telephone_number": "407-331-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMBREVILLE",
        "first_name": "JUNE-ANN",
        "middle_name": "VANESSA",
        "credential": "ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9232625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.