Active NPI
Gina Daye, A.R.N.P-C
- Family Nurse Practitioner
- Lauderhill, FL
National Provider Identifier
1619941259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN3110812
- Practice address
- 4534 N University Dr
Lauderhill, FL 33351-5740 - Phone
- (754) 444-0054
- NPI assigned
- Feb 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN3110812 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN3110812 | FL | Primary |
Addresses
Primary practice location
4534 N University Dr
Lauderhill, FL 33351-5740
Mailing address
4534 N University Dr
Lauderhill, FL 33351-5740
Phone (754) 444-0054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305890500 | Medicaid | FL |
Other names 1
- Gina Ford
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050524001166 | FL | Practitioner - Nurse Practitioner | 6901848530 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1619941259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4534 N UNIVERSITY DR",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333515740",
"telephone_number": "754-444-0054",
"fax_number": "954-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4534 N UNIVERSITY DR",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333515740",
"telephone_number": "754-444-0054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYE",
"first_name": "GINA",
"credential": "A.R.N.P-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2023-04-17",
"certification_date": "2023-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN3110812",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN3110812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305890500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "FORD",
"credential": "A.R.N.P-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.