Individual provider Active NPI

William Kenneth McDowell, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sanford, FL
National Provider Identifier
1619272903
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP 1811792 Issued in FL
Practice address
919 East Second Street
Sanford, FL 32771
Phone
(407) 875-3700
Fax
(407) 667-1647
NPI assigned
Jan 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP 1811792 FL Primary

Addresses

Primary practice location

919 East Second Street
Sanford, FL 32771

Mailing address

5151 Adanson St
Orlando, FL 32804-1317
Phone (407) 875-3700

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
I20110318000829 FL Practitioner - Nurse Practitioner 0042493652 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 1811792FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Health Partners, Inc. CurrentSince Dec 31, 2023 Accepting new patients

Locations

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

5151 Adanson St
Orlando, FL 32804
Phone (321) 438-8315

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1619272903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 ADANSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041317",
            "telephone_number": "407-875-3700",
            "fax_number": "407-667-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 EAST SECOND STREET",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "407-875-3700",
            "fax_number": "407-667-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "WILLIAM",
        "middle_name": "KENNETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP 1811792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.