Individual provider Active NPI

Wilnard Dastine, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1427580869
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F9202306 Issued in FL
Practice address
6735 Conroy Rd Ste 418
Orlando, FL 32835-3566
Phone
(407) 420-7374
Fax
(407) 271-8411
NPI assigned
Apr 3, 2017
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9202306 FL
Family Nurse Practitioner 363LF0000X F9202306 FL Primary

Addresses

Primary practice location

6735 Conroy Rd Ste 418
Orlando, FL 32835-3566

Mailing address

6735 Conroy Rd Ste 418
Orlando, FL 32835-3566
Phone (407) 420-7374

Other practice location 1

2753 Woodstream Cir
Kissimmee, FL 34743-5348
Phone (407) 348-5735

Other practice location 2

9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (321) 843-5500

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
I20180423001256 FL Practitioner - Nurse Practitioner 1153684345 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9202306FLMDAdult Health Nurse Practitioner
F9202306FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 1, 2018 Accepting new patients
RW Family Practice & Preventive Care, LLC. CurrentSince Jul 17, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 1, 2018 Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

6735 Conroy Rd
Ste 418
Orlando, FL 32835
Phone (407) 420-7374

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: wdastine28086@orlandohealth.medalliesdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1427580869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 CONROY RD STE 418",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353566",
            "telephone_number": "407-420-7374",
            "fax_number": "407-271-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 CONROY RD STE 418",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353566",
            "telephone_number": "407-420-7374",
            "fax_number": "407-271-8411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2753 Woodstream Cir",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347435348",
            "country_code": "US",
            "telephone_number": "407-348-5735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9400 Turkey Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198001",
            "country_code": "US",
            "telephone_number": "321-843-5500",
            "fax_number": "321-843-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASTINE",
        "first_name": "WILNARD",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9202306",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F9202306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.