Individual provider Active NPI

John Daniel O'Leary, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1639719800
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004923 Issued in FL
Practice address
7000 H C Kelley Rd
Orlando, FL 32831-2521
Phone
(407) 208-8314
NPI assigned
Jan 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11004923 FL Primary

Addresses

Primary practice location

7000 H C Kelley Rd
Orlando, FL 32831-2521

Mailing address

7000 H C Kelley Rd
Orlando, FL 32831-2521
Phone (407) 208-8314

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joleary@teamcenturion.com Direct MHM Services, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
11004923FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1639719800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 H C KELLEY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328312521",
            "telephone_number": "407-208-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 H C KELLEY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328312521",
            "telephone_number": "407-208-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joleary@teamcenturion.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "MHM Services, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7000 H C Kelley Rd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328312521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.