Organization Active NPI

Dryp Florida LLC

  • Surgery Physician
  • Naples, FL
National Provider Identifier
1376364349
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DRYP FLORIDA LLC
Practice address
3411 Tamiami TRL N Ste 204
Naples, FL 34103-3700
Phone
(239) 300-8171
NPI assigned
Oct 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Shelly Miller, RN
Title
Ceo
Phone
(740) 637-8038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

3411 Tamiami TRL N Ste 204
Naples, FL 34103-3700

Mailing address

212 Silverado Dr
Naples, FL 34119-4614
Phone (740) 637-8038

Other names 1

  • BLUEGRASS WOUND CARE AND HYPERBARICS OF FLORIDA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250507000394 FL Part B Supplier - Clinic/Group Practice 0446777189 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

3411 Tamiami Trl N
Ste 204
Naples, FL 34103
Phone (239) 235-0802

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1376364349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SILVERADO DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194614",
            "telephone_number": "740-637-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 TAMIAMI TRL N STE 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033700",
            "telephone_number": "239-300-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRYP FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-637-8038",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUEGRASS WOUND CARE AND HYPERBARICS OF FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BLUEGRASS WOUND CARE AND HYPERBARICS OF FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.