Active NPI
Danielle Dean, PHYSICIAN ASST
- Medical Physician Assistant
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9103910
- Practice address
- 2401 Frist Blvd Ste 4
Fort Pierce, FL 34950-4800 - Phone
- (772) 466-1567
- Fax
- (772) 466-1595
- NPI assigned
- Oct 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9103910 | FL | Primary |
Addresses
Primary practice location
2401 Frist Blvd Ste 4
Fort Pierce, FL 34950-4800
Mailing address
2401 Frist Blvd Ste 4
Fort Pierce, FL 34950-4800
Phone (772) 466-1567
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
390 Ernest W Barrett Pkwy NW
Suite 4
Kennesaw, GA 30144-4989
Phone (770) 426-9945
7240 7TH PL N
West Palm Beach, FL 33411-3801
Phone 5619696663268
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103910 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services, LLC | Current | Accepting new patients | |
| Sheridan Emergency Physician Services Inc | Current | Accepting new patients | |
| FL-I Medical Services LLC | Current | Accepting new patients | |
| Sheridan Emergency Physician Services Inc | Current | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| Hillmoor ER SVCS Partnership | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- West Palm Beach, FL
- NPI 1174949978
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Emergency Medicine Physician
- Jupiter, FL
- NPI 1598748030
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
-
- Emergency Medicine Physician
- Bushnell, FL
- NPI 1326619727
-
- Emergency Medicine Physician
- Punta Gorda, FL
- NPI 1376592063
-
- Emergency Medicine Physician
- Port St Lucie, FL
- NPI 1962451930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1669565693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 FRIST BLVD STE 4",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504800",
"telephone_number": "772-466-1567",
"fax_number": "772-466-1595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 FRIST BLVD STE 4",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504800",
"telephone_number": "772-466-1567",
"fax_number": "772-466-1595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "PHYSICIAN ASST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9103910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.