Active NPI
Dawne Louise Parker, FNP
- Family Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1558598367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5015964
- Practice address
- 14311 Metropolis Ave
Fort Myers, FL 33912-4442 - Phone
- (518) 491-2208
- NPI assigned
- Jun 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 335914 | NY | |
| Family Nurse Practitioner | 363LF0000X | 335914 | NY | |
| Family Nurse Practitioner | 363LF0000X | 0024183229 | VA | |
| Family Nurse Practitioner | 363LF0000X | 5015964 | NC | Primary |
Addresses
Primary practice location
14311 Metropolis Ave
Fort Myers, FL 33912-4442
Mailing address
14311 Metropolis Ave
Fort Myers, FL 33912-4442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J400535342 | Other | NY | MEDICARE |
| 03258757 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335914 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Hospital of Troy, New York | Nurse Practitioner | Current | Accepting new patients |
Locations
1 Tallow Wood Dr
Clifton Park, NY 12065
Phone (518) 373-4444
713 Troy Schenectady Rd
Ste 304
Latham, NY 12110
Phone (518) 373-4448
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1558598367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14311 METROPOLIS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14311 METROPOLIS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124442",
"telephone_number": "518-491-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "DAWNE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-18",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "335914",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "335914",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024183229",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5015964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "J400535342",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03258757",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.