Dragonfly Support Coordination

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

DRAGONFLY SUPPORT COORDINATION

Practice address

3216 NW 47TH PL
Gainesville, FL 32605-1100

Phone

(352) 262-7672

NPI assigned

Feb 3, 2022

Last updated

Feb 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherry Johnson

Title

Waiver Support Coordinator

Phone

(386) 965-5418

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Ann Daniels, B.A.

  • Case Manager/Care Coordinator
  • Gainesville, FL
  • NPI 1518154095
  NPD (past)

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1346993896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 NW 47TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051100",
            "telephone_number": "352-262-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 NW 47TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051100",
            "telephone_number": "352-262-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY SUPPORT COORDINATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "WAIVER SUPPORT COORDINATOR",
        "authorized_official_telephone_number": "386-965-5418"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110051800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "iConnect",
            "affiliation": "N",
            "endpointDescription": "Secure website provided by the Agency for Persons with Disabilities",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3216 NW 47th Pl",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326051100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "flywithdragonfly2021@gmail.com",
            "affiliation": "N",
            "endpointDescription": "PHI is not shared except through iConnect, a secure system through the Agency for Persons with Disabilities",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "does not apply to our scope of practice",
            "address_1": "3216 NW 47th Pl",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326051100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dr.Ted Brink & Associates
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• Olivia Anne Drago, BCBA
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• Dragonfly Therapy LLC
• Alison Schenholm Dragstedt, PA-C
• Carl A Dragstedt, DO
• Kristen Drake
• Eleanor Drakeford

• Case Manager/Care Coordinator in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.