Individual provider Active NPI

Danita T Osbourne, ARNP

  • Nurse Practitioner
  • Plant City, FL
National Provider Identifier
1699167304
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9277693 Issued in FL
Practice address
507 W Alexander St
Plant City, FL 33563-7136
Phone
(813) 754-3504
Fax
(813) 752-6863
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9277693 FL Primary

Addresses

Primary practice location

507 W Alexander St
Plant City, FL 33563-7136

Mailing address

507 W Alexander St
Plant City, FL 33563-7136
Phone (813) 754-3504

Other practice location 1

507 W Alexander St
Plant City, FL 33563-7136
Phone (813) 754-3504

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
I20150410001683 FL Practitioner - Nurse Practitioner 0840518452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2155 SE Federal Hwy
Wellmed at South Stuart
Stuart, FL 34994-4514
Phone (772) 223-9630

2940 S US Hwy 1
Suite C11 Wellmed at Fort Pierce
Fort Pierce, FL 34982-8143
Phone (772) 466-6855

507 W Alexander St
Wellmed at Plant City
Plant City, FL 33563-7136
Phone (813) 754-3504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9277693FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc CurrentSince Mar 16, 2015 Accepting new patients

Locations

2020 Flamingo Dr
Bartow, FL 33830
Phone (863) 533-4104

141 Webb Dr
Ste 200
Davenport, FL 33837
Phone (863) 422-0020

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

507 W Alexander St
Plant City, FL 33563
Phone (813) 754-3504

2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: danita.bailey@wellmed.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1699167304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637136",
            "telephone_number": "813-754-3504",
            "fax_number": "813-752-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637136",
            "telephone_number": "813-754-3504",
            "fax_number": "813-752-6863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 W Alexander St",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335637136",
            "country_code": "US",
            "telephone_number": "813-754-3504",
            "fax_number": "813-752-6863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBOURNE",
        "first_name": "DANITA",
        "middle_name": "T",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9277693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.