Individual provider Active NPI

Donna Geraldine Sampson, ARNP

  • General Practice Registered Nurse
  • Ocoee, FL
National Provider Identifier
1548806383
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
11004813 Issued in FL
Practice address
1403 Glenleigh Dr
Ocoee, FL 34761-5730
Phone
(850) 212-1465
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hemodialysis Registered Nurse 163WH0500X 11004813 FL
Nephrology Registered Nurse 163WN0300X 11004813 FL
General Practice Registered Nurse 163WG0000X 11004813 FL Primary

Addresses

Primary practice location

1403 Glenleigh Dr
Ocoee, FL 34761-5730

Mailing address

1403 Glenleigh Dr
Ocoee, FL 34761-5730
Phone (850) 212-1465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004813FLMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
DGS Health and Wellness PLLC CurrentSince Jul 31, 2023 Accepting new patients
Renal Access of Central Florida LLC Past Accepting new patients

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": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1548806383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 GLENLEIGH DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615730",
            "telephone_number": "850-212-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 GLENLEIGH DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615730",
            "telephone_number": "850-212-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "DONNA",
        "middle_name": "GERALDINE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "FL",
            "license": "11004813",
            "primary": false
        },
        {
            "code": "163WN0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nephrology",
            "state": "FL",
            "license": "11004813",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "11004813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.