Active NPI
Dara Noelle Wakefield, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Gainesville, FL
National Provider Identifier
1689877086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME118904
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-0275 - Phone
- (352) 273-7841
- NPI assigned
- Jun 6, 2007
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME118904 | FL | Primary |
| Hematology (Pathology) Physician | 207ZH0000X | ME118904 | FL |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-0275
Mailing address
1600 SW Archer Rd
Gainesville, FL 32610-0275
Phone (352) 273-7841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012754000 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME118904 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1689877086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100275",
"telephone_number": "352-273-7841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100275",
"telephone_number": "352-273-7841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKEFIELD",
"first_name": "DARA",
"middle_name": "NOELLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME118904",
"primary": true
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "FL",
"license": "ME118904",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012754000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
- Nicole Lynn Wait, LCSW
- Kathleen Kraeger Waite
- Ashley Waithe, LMHC
- Lew Wajsman, MD
- Renata Wajsman, MD
- Scott G Wakefield, LCSW
- Wal-Mart Stores East LP (Walmart Pharmacy 10-3877)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1081)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0538)
- Wal-Mart Stores East, LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.