Active NPI
Wilnard Dastine, ARNP
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F9202306
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9202306 | FL | MD | Adult Health Nurse Practitioner |
| F9202306 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| RW Family Practice & Preventive Care, LLC. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.