Individual provider Active NPI

Joann J Dunsmore, PA

  • Medical Physician Assistant
  • Spring Hill, FL
National Provider Identifier
1518930023
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 9103204 Issued in FL
Practice address
3378 Mariner Blvd
Spring Hill, FL 34609-2460
Phone
(352) 796-7171
Fax
(352) 556-4889
NPI assigned
Feb 7, 2006
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 9103204 FL Primary

Addresses

Primary practice location

3378 Mariner Blvd
Spring Hill, FL 34609-2460

Mailing address

3378 Mariner Blvd
Spring Hill, FL 34609-2460
Phone (352) 796-7171

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
I20080319000154 FL Practitioner - Physician Assistant 8224114004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9103204FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Healthcare LLC CurrentSince May 21, 2023 Accepting new patients
Quality Drive Emergency Physicians LLC Past Accepting new patients

Locations

3378 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 796-7171

Organizations & group practices 3

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1518930023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3378 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092460",
            "telephone_number": "352-796-7171",
            "fax_number": "352-556-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3378 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092460",
            "telephone_number": "352-796-7171",
            "fax_number": "352-556-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNSMORE",
        "first_name": "JOANN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9103204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.