Individual provider Active NPI

Danielle Leigh Vanduzer, APRN

  • Nurse Practitioner
  • Jensen Beach, FL
National Provider Identifier
1710503602
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11007430 Issued in FL
Practice address
3601 NW Federal Hwy
Jensen Beach, FL 34957-3676
Phone
(772) 882-8161
NPI assigned
Jun 17, 2020
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11007430 FL
Nurse Practitioner 363L00000X APRN11007430 FL Primary

Addresses

Primary practice location

3601 NW Federal Hwy
Jensen Beach, FL 34957-3676

Mailing address

4500 W Midway Rd
Fort Pierce, FL 34981-4823
Phone (772) 672-8448

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
I20200811001450 FL Practitioner - Nurse Practitioner 3678998465 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11007430FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Physician Services LLC CurrentSince Aug 8, 2025 Accepting new patients
Patel Medical Consulting, LLC CurrentSince Apr 3, 2021 Accepting new patients

Locations

3601 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 208-3057

17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1710503602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 W MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814823",
            "telephone_number": "772-672-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573676",
            "telephone_number": "772-882-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDUZER",
        "first_name": "DANIELLE",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007430",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

Verify at the official NPI Registry.