Bernice Dillard, RN, MSN, APNC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NN03620400 Issued in NJ

Practice address

1805 Hobbs Road
Auburndale, FL 33823-4644

Phone

(863) 965-5400

Fax

(863) 965-3739

NPI assigned

Aug 18, 2006

Last updated

May 9, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Florida Department of Health

  dba Levy County Health Department

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD (past)
• Florida Department of Health

  dba Florida Department of Health in Polk County

  • Public Health or Welfare Agency
  • Lakeland, FL
  • NPI 1396732541
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1366556375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 GOLFVIEW AVE",
            "address_2": "ATTN: ACCOUNTS RECEIVABLE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306740",
            "telephone_number": "863-519-7900",
            "fax_number": "863-519-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 HOBBS ROAD",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338234644",
            "telephone_number": "863-965-5400",
            "fax_number": "863-965-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "BERNICE",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, APNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NN03620400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004304900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desirable Comfort Meals LLC
• Nadia Kaur Dhillon, B.S.
• Lianet Diaz Corrales
• Cynthia I Diaz Pineiro, APRNI
• Liza Marie Diaz, RN, BSN
• Sabine Dorothy Docteur, MD PA MBA MSC.
• Doctor Today TLC, LLC
• Doctors Choice Home Medical Equip of Largo, Inc. (Praxair Healthcare Services)
• Jeremy Duckworth, CRNA
• Parker L Duke, DMD

• Women's Health Nurse Practitioner in Auburndale, FL
• Providers in Auburndale, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.