Individual provider Active NPI

Ladonna Dapremont, ARNP

  • Gerontology Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1497251003
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9251455 Issued in FL
Practice address
2322 W Nine Mile Rd
Pensacola, FL 32534-9417
Phone
(448) 202-5954
Fax
(448) 333-3671
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP9251455 FL Primary

Addresses

Primary practice location

2322 W Nine Mile Rd
Pensacola, FL 32534-9417

Mailing address

1009 Creighton Rd
Pensacola, FL 32504-7031

Other identifiers 2

IdentifierTypeStateIssuer
024901400MedicaidFL
14259627OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Nikki@TheSPG.net Direct

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
I20180604001323 FL Practitioner - Nurse Practitioner 3779848221 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9251455FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Southern Practitioner Group CurrentSince Nov 7, 2025 Accepting new patients
Southern Practitioner CurrentSince Apr 9, 2018 Accepting new patients

Locations

15 W Maxwell St
Ste 148
Pensacola, FL 32501
Phone (850) 434-0077

14 W Jordan St
Ste 1E
Pensacola, FL 32501

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1497251003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 W NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325349417",
            "telephone_number": "448-202-5954",
            "fax_number": "448-333-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAPREMONT",
        "first_name": "LADONNA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9251455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024901400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14259627",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nikki@TheSPG.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2322 W Nine Mile Rd",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325349417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.