Individual provider Active NPI

Deonna Dasilva, APRN

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1356926943
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020568 Issued in NC
Practice address
250 Hospice Cir
Raleigh, NC 27607-6372
Phone
(919) 828-4026
Fax
(919) 719-0395
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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 CNP201508 ME
Family Nurse Practitioner 363LF0000X 5020568 NC Primary

Addresses

Primary practice location

250 Hospice Cir
Raleigh, NC 27607-6372

Mailing address

250 Hospice Cir
Raleigh, NC 27607-6372
Phone (919) 828-4026

Other practice location 1

75 State St
Portland, ME 04101-3746
Phone (401) 659-7429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210617000948 ME Practitioner - Nurse Practitioner 5092115774 Reassigns benefits to 2 organizations
I20241204001756 NC Practitioner - Nurse Practitioner 5092115774 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP201508MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Wake County, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Hospice of Wake County, Inc. Current Accepting new patients
Avenir Ventures, L.L.C. CurrentSince Nov 29, 2021 Accepting new patients
Novella Infusion LLC CurrentSince Feb 21, 2024 Accepting new patients
Avenir Ventures, L.L.C. CurrentSince Nov 29, 2021 Accepting new patients
Signify Health, LLC CurrentSince Jun 20, 2024 Accepting new patients
Novella Infusion LLC CurrentSince Feb 21, 2024 Accepting new patients

Locations

3854 American Way
Baton Rouge, LA 70816
Phone (225) 372-5008

963 Sabattus St
Unit 3
Lewiston, ME 04240
Phone (207) 747-1181

94 Auburn St
Ste 203
Portland, ME 04103
Phone (207) 747-1181

6 City Ctr
Portland, ME 04101

52 Atlantic Pl
Ste B50
South Portland, ME 04106
Phone (207) 772-0929

250 Hospice Cir
Raleigh, NC 27607
Phone (919) 828-0890

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

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": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1356926943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HOSPICE CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076372",
            "telephone_number": "919-828-4026",
            "fax_number": "919-719-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HOSPICE CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076372",
            "telephone_number": "919-828-4026",
            "fax_number": "919-719-0395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 State St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041013746",
            "country_code": "US",
            "telephone_number": "401-659-7429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "DEONNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP201508",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.