Active NPI
Dana Gant
- Pediatric Nurse Practitioner
- Davenport, FL
National Provider Identifier
1700398336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP9301636
- Practice address
- 2506 Sand Mine Rd
Davenport, FL 33897-3402 - Phone
- (863) 232-5527
- NPI assigned
- Nov 5, 2017
- Last updated
- Nov 5, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP9301636 | FL | Primary |
Addresses
Primary practice location
2506 Sand Mine Rd
Davenport, FL 33897-3402
Mailing address
7213 Enchanted Lake Dr
Winter Garden, FL 34787-0034
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9301636 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Care of Four Corners PLLC | Past | Accepting new patients |
Interoperability endpoints
- dana.gant.1@9737.direct.athenahealth.com
- https://api.platform.athenahealth.com/9737/brand/1/csg/1/fhir/r4
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.
-
- Pediatrics Physician
- Davenport, FL
- NPI 1790185981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509840000000",
"number": "1700398336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7213 ENCHANTED LAKE DR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347870034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 SAND MINE RD",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338973402",
"telephone_number": "863-232-5527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANT",
"first_name": "DANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-05",
"last_updated": "2017-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP9301636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.