Individual provider Active NPI

Deandra Darmalingum, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1457015497
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11015918 Issued in FL
Practice address
11616 Lake Underhill Rd
Orlando, FL 32825-4463
Phone
(407) 482-7788
NPI assigned
Oct 26, 2021
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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 APRN11015918 FL Primary

Addresses

Primary practice location

11616 Lake Underhill Rd
Orlando, FL 32825-4463

Mailing address

12869 Daughtery Dr
Winter Garden, FL 34787-6515
Phone (718) 598-0343

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
I20211109001208 FL Practitioner - Nurse Practitioner 4486043650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Heart and Vascular Center LLCGroup PAC ID 6800988619, 7 clinicians

Practice addresses (Care Compare)

11616 Lake Underhill Rd
Suite 215
Orlando, FL 32825-4465
Phone (407) 482-7788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
84.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11015918FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Heart & Vascular Center LLC CurrentSince Nov 15, 2021 Accepting new patients

Locations

11616 Lake Underhill Rd
Orlando, FL 32825

11616 Lake Underhill Rd
Ste 215
Orlando, FL 32825
Phone (407) 601-5308

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1457015497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12869 DAUGHTERY DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876515",
            "telephone_number": "718-598-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11616 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254463",
            "telephone_number": "407-482-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARMALINGUM",
        "first_name": "DEANDRA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.