Dairis Lopez Frometa

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11032531 Issued in FL

Practice address

1100 Cesery Blvd
Jacksonville, FL 32211-5674

Phone

(904) 551-5884

NPI assigned

Apr 29, 2024

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• American Care of North Florida, Inc

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1053679787
  Medicare reassignment NPD
• American Care of North Florida, Inc

  • General Practice Physician
  • Winter Haven, FL
  • NPI 1689934648
  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1508612615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 WINDY WILLOWS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255936",
            "telephone_number": "786-818-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CESERY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115674",
            "telephone_number": "904-551-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ FROMETA",
        "first_name": "DAIRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfonso Sebastian Lopez Chiriboga, M.D.
• Laura Beatriz Lopez Concepcion
• Norkis Lopez del Rio, DDS
• Lopez Family Primary Care Inc
• Lopez Family Urgent Care Inc
• Lopez Healthcare Services Corp
• Litzy Lopez Hernandez
• Lopez Home Health Services Inc
• Lopez Internal Medicine Associates Inc.
• Albaro Lopez Perez, PA-C

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.

Verify at the official NPI Registry.