Individual provider Active NPI

Daniel Doucette, APRN

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1467840868
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3361142 Issued in FL
Practice address
647 Orange Ave
Daytona Beach, FL 32114-6731
Phone
(386) 252-5501
NPI assigned
Jan 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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 ARNP3361142 FL Primary

Addresses

Primary practice location

647 Orange Ave
Daytona Beach, FL 32114-6731

Mailing address

4 Cedarfield CT
Palm Coast, FL 32137-8950
Phone (386) 916-9488

Other practice location 1

4 Cedarfield Ct
Palm Coast, FL 32137-8950
Phone (386) 916-9488

Other practice location 2

1 Farraday Ln Ste 2F
Palm Coast, FL 32137-3837
Phone (386) 225-0942

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
I20200818000327 FL Practitioner - Nurse Practitioner 3971810128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John R. Parnell M.D., P.a.Group PAC ID 7719019827, 2 clinicians

Practice addresses (Care Compare)

647 Orange Ave
Suite a
Daytona Beach, FL 32114-6731
Phone 3862525501106

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John R. Parnell M.D., P.a. CurrentSince May 2, 2020 Accepting new patients
Parnell PastSince Feb 9, 2020 Accepting new patients

Locations

647 Orange Ave
Ste A
Daytona Beach, FL 32114
Phone (386) 252-5501

Organizations & group practices 2

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1467840868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CEDARFIELD CT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378950",
            "telephone_number": "386-916-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 ORANGE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321146731",
            "telephone_number": "386-252-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Cedarfield Ct",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378950",
            "country_code": "US",
            "telephone_number": "386-916-9488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Farraday Ln Ste 2F",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321373837",
            "country_code": "US",
            "telephone_number": "386-225-0942",
            "fax_number": "386-585-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUCETTE",
        "first_name": "DANIEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-07",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3361142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.