Individual provider Active NPI

Donna Jean O'Hara, ARNP

  • Acute Care Nurse Practitioner
  • Fruitland Park, FL
National Provider Identifier
1710186267
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP2152202 Issued in FL
Practice address
1638 Leesburg Blvd
Fruitland Park, FL 34731-5215
Phone
(352) 326-4269
Fax
(352) 326-9266
NPI assigned
Jul 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP2152202 FL Primary

Addresses

Primary practice location

1638 Leesburg Blvd
Fruitland Park, FL 34731-5215

Mailing address

1638 Leesburg Blvd
Fruitland Park, FL 34731-5215
Phone (352) 326-4269

Other identifiers 1

IdentifierTypeStateIssuer
1801183397OtherFLNPI FOR LEVANTE MEDICAL LLC OWNED/OPERATED SOLELY BY DONNA O'HARA, ARNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1710186267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 LEESBURG BLVD",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347315215",
            "telephone_number": "352-326-4269",
            "fax_number": "352-326-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 LEESBURG BLVD",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347315215",
            "telephone_number": "352-326-4269",
            "fax_number": "352-326-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-15",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP2152202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR LEVANTE MEDICAL LLC OWNED/OPERATED SOLELY BY DONNA O'HARA, ARNP",
            "identifier": "1801183397",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitland Park, FL

Sources for this page

Verify at the official NPI Registry.