Individual provider Active NPI

Dominique Meyer, FNP-C

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1376929547
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010021 Issued in FL
Practice address
2200 Ringling Blvd
Sarasota, FL 34237-6102
Phone
(941) 529-0200
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11010021 FL
Family Nurse Practitioner 363LF0000X CNP 4074 MN
Family Nurse Practitioner 363LF0000X 11010021 FL Primary

Addresses

Primary practice location

2200 Ringling Blvd
Sarasota, FL 34237-6102

Mailing address

2200 Ringling Blvd
Sarasota, FL 34237-6102
Phone (941) 529-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, FL2 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
I20151007000990 MN Practitioner - Nurse Practitioner 1850609165 Reassigns benefits to 1 organization
I20201202000393 FL Practitioner - Nurse Practitioner 1850609165 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010021FLMDFamily Medicine Physician
CNP 4074MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services, PA CurrentSince Aug 31, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
MD Now Medical Centers Inc CurrentSince Dec 3, 2022 Accepting new patients
MD Now Medical Centers Inc CurrentSince Dec 3, 2022 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Fairview Health Services CurrentSince Sep 12, 2015 Accepting new patients
FL-I Medical Services, LLC Current Accepting new patients
FL-I Medical Services LLC CurrentSince Aug 31, 2022 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

8500 State Road 70 E
Lakewood Ranch, FL 34202
Phone (941) 232-6532

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

3110 Fruitville Commons Blvd
Sarasota, FL 34240
Phone (941) 218-1040

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 11

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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1376929547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 RINGLING BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376102",
            "telephone_number": "941-529-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 RINGLING BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376102",
            "telephone_number": "941-529-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "DOMINIQUE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11010021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 4074",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.