Individual provider Active NPI

Danielle L Dillon Gannon, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1598129397
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9325967 Issued in FL
Practice address
1613 N Mills Ave
Orlando, FL 32803-1849
Phone
(407) 894-4474
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9325967 FL Primary
Nurse Practitioner 363L00000X ARNP 9325967 FL

Addresses

Primary practice location

1613 N Mills Ave
Orlando, FL 32803-1849

Mailing address

1613 N Mills Ave
Orlando, FL 32803-1849
Phone (407) 894-4474

Other practice location 1

1223 Gateway Dr
Suite E
Melbourne, FL 32901-2607
Phone (321) 725-4500 ext. 7232

Other practice location 2

755 Rinehart Rd Ste 100
Lake Mary, FL 32746-4885
Phone (407) 894-4474

Other practice location 3

2984 Alafaya Trl Ste 1000
Oviedo, FL 32765-7628
Phone (407) 894-4474

Other practice location 4

689 E Altamonte Dr
Altamonte Springs, FL 32701-4801
Phone (407) 894-4474

Other practice location 5

1925 Mizell Ave Ste 100
Winter Park, FL 32792-4155
Phone (407) 894-4474

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
I20160511001860 FL Practitioner - Nurse Practitioner 3476842600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

400 Celebration PL
Celebration, FL 34747-4970

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9325967FLMDNurse Practitioner
APRN9325967FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Solutions & More LLC CurrentSince Jul 25, 2023 Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Oct 9, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 9, 2023 Accepting new patients

Locations

689 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 767-7262

755 Rinehart Rd
Ste 100
Lake Mary, FL 32746
Phone (407) 320-8100

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1613 N Mills Ave
Orlando, FL 32803
Phone 40789444741145

2984 Alafaya Trl
Ste 1000
Oviedo, FL 32765
Phone (407) 588-1585

1701 SE Hillmoor Dr
Ste 7
Port St Lucie, FL 34952
Phone (772) 398-9808

1925 Mizell Ave
Ste 100
Winter Park, FL 32792
Phone (407) 539-2099

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dgannon1726072@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 and National Provider Directory roles.

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1598129397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031849",
            "telephone_number": "407-894-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031849",
            "telephone_number": "407-894-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-725-4500 x7232",
            "fax_number": "321-956-2542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Rinehart Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327464885",
            "country_code": "US",
            "telephone_number": "407-894-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2984 Alafaya Trl Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327657628",
            "country_code": "US",
            "telephone_number": "407-894-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "689 E Altamonte Dr",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327014801",
            "country_code": "US",
            "telephone_number": "407-894-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Mizell Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327924155",
            "country_code": "US",
            "telephone_number": "407-894-4474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLON GANNON",
        "first_name": "DANIELLE",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9325967",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9325967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.