Active NPI
Matthew W Doane, NP
- Family Nurse Practitioner
- Orlando, FL
National Provider Identifier
1619076726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9287154
- Practice address
- 13535 Nemours Pkwy
Orlando, FL 32827-7402 - Phone
- (407) 567-4000
- NPI assigned
- Sep 22, 2006
- Last updated
- May 16, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN0000012121 | TN | |
| Family Nurse Practitioner | 363LF0000X | 9287154 | FL | Primary |
Addresses
Primary practice location
13535 Nemours Pkwy
Orlando, FL 32827-7402
Mailing address
1114 Wilde Dr.
Celebration, FL 34747
Phone (615) 869-9212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4134786 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|
| APN0000012121 | TN | MD | Nurse Practitioner |
| 9287154 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Emergency Coverage Services, PC | Nurse Practitioner | Past | Accepting new patients |
Locations
300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Nurse Practitioner, TN
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1619076726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 WILDE DR.",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "34747",
"telephone_number": "615-869-9212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13535 NEMOURS PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277402",
"telephone_number": "407-567-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOANE",
"first_name": "MATTHEW",
"middle_name": "W",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN0000012121",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9287154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4134786",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.