Individual provider Active NPI

Deanna Graham Crowningshield, ARNP

  • Family Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1376745596
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3416852 Issued in FL
Practice address
120 Benmore Dr
Winter Park, FL 32792-4101
Phone
(407) 645-5998
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3416852 FL Primary

Addresses

Primary practice location

120 Benmore Dr
Winter Park, FL 32792-4101

Mailing address

9473 Southern Garden Cir
Altamonte Springs, FL 32714-1273
Phone (407) 383-9588

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
I20180306000371 FL Practitioner - Nurse Practitioner 3476814500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sergio Menendez-Aponte,MD,PAGroup PAC ID 7315992336, 2 clinicians

Practice addresses (Care Compare)

120 Benmore Dr
Winter Park, FL 32792-4101
Phone 40764559983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3416852FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sergio Menendez-Aponte,MD,PA CurrentSince Jan 27, 2018 Accepting new patients

Locations

120 Benmore Dr
Winter Park, FL 32792
Phone (407) 645-5998

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1376745596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9473 SOUTHERN GARDEN CIR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141273",
            "telephone_number": "407-383-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BENMORE DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924101",
            "telephone_number": "407-645-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWNINGSHIELD",
        "first_name": "DEANNA",
        "middle_name": "GRAHAM",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3416852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.