Individual provider Active NPI

Olivia Nicole Dennis, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1548474273
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME98084 Issued in FL
Practice address
11550 University Blvd
Orlando, FL 32817-2100
Phone
(407) 384-0080
NPI assigned
May 10, 2007
Last updated
Oct 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME98084 FL Primary

Addresses

Primary practice location

11550 University Blvd
Orlando, FL 32817-2100

Mailing address

11550 University Blvd
Orlando, FL 32817-2100
Phone (407) 384-0080

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071017000089 FL Practitioner - Family Practice 5092801480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11550 University Blvd
Orlando, FL 32817-2100
Phone (407) 384-0080

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME98084FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt, Inc. Family Medicine Current Accepting new patients
Adventist Health System/Sunbelt, Inc. Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family Medicine CurrentSince Jul 1, 2007 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

11550 University Blvd
Orlando, FL 32817
Phone (407) 282-2044

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: odennis73616@adventhealth.direct-ci.com

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.

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1548474273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 UNIVERSITY BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172100",
            "telephone_number": "407-384-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 UNIVERSITY BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172100",
            "telephone_number": "407-384-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "OLIVIA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME98084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.