Individual provider Active NPI

Julia A Dasque, NP-C

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1346834488
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011775 Issued in FL
Practice address
9964 University Blvd
Orlando, FL 32817-1802
Phone
(407) 733-9797
NPI assigned
Mar 1, 2021
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11011775 FL Primary
Adult Medicine Physician 207QA0505X APRN11011775 FL

Addresses

Primary practice location

9964 University Blvd
Orlando, FL 32817-1802

Mailing address

4900 Echo CT
Oviedo, FL 32765-5283
Phone (407) 733-9797

Other names 1

  • Julia A McDonald Former name

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
I20210715001001 FL Practitioner - Nurse Practitioner 6103228010 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11011775FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc CurrentSince Jul 8, 2021 Accepting new patients

Locations

719 Rodel Cv
Ste 2001
Lake Mary, FL 32746
Phone (407) 302-3106

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

9964 University Blvd
Orlando, FL 32817
Phone (407) 261-2900

Organizations & group practices 1

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1346834488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 ECHO CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655283",
            "telephone_number": "407-733-9797",
            "fax_number": "321-203-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9964 UNIVERSITY BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171802",
            "telephone_number": "407-733-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASQUE",
        "first_name": "JULIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011775",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "APRN11011775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "MCDONALD",
            "middle_name": "A",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.