Individual provider Active NPI

Dane Vincent Parker, D.C., A.R.N.P.

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1730186800
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9317352 Issued in FL
Practice address
3240 S Florida Ave
Lakeland, FL 33803-4574
Phone
(863) 644-4000
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0005687 FL
Family Nurse Practitioner 363LF0000X ARNP9317352 FL Primary

Addresses

Primary practice location

3240 S Florida Ave
Lakeland, FL 33803-4574

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 332-6947

Other practice location 1

3035 Lakeland Hills Blvd Ste 4
Lakeland, FL 33805-2201
Phone (863) 354-3050

Other practice location 2

550 Pope Ave NW Ste 300
Winter Haven, FL 33881-4679
Phone (863) 299-2636

Other identifiers 1

IdentifierTypeStateIssuer
380469100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080126000160 FL Practitioner - Chiropractic 3375454994 Reassigns benefits to 1 organization
I20160725001987 FL Practitioner - Nurse Practitioner 3375454994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Physicians LLCGroup PAC ID 9234554643, 30 clinicians

Practice addresses (Care Compare)

3240 S Florida Ave
Lakeland, FL 33803-4574
Phone (863) 644-7337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0005687FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Physicians, LLC Chiropractor CurrentSince Nov 1, 2020 Accepting new patients
Raypar Inc Chiropractor Past Accepting new patients
Premier Heart and Vascular Center, PA PastSince Apr 9, 2024 Accepting new patients

Locations

3240 S Florida Ave
Lakeland, FL 33803
Phone (863) 646-4000

3240 S Florida Ave
Ste 105
Lakeland, FL 33803
Phone (863) 644-7337

3242 S Florida Ave
Lakeland, FL 33803
Phone (863) 644-0880

3240 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 644-7337

3240 S Florida Ave
Ste 100
Lakeland, FL 33803
Phone (863) 646-4000

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

550 Pope Ave NW
Ste 300
Winter Haven, FL 33881
Phone (863) 299-2636

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dane.parker.1@27472.direct.athenahealth.com

Organizations & group practices 3

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1730186800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "689-304-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034574",
            "telephone_number": "863-644-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3035 Lakeland Hills Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338052201",
            "country_code": "US",
            "telephone_number": "863-354-3050",
            "fax_number": "863-337-4945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Pope Ave NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814679",
            "country_code": "US",
            "telephone_number": "863-299-2636",
            "fax_number": "863-662-5288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DANE",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.C., A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005687",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9317352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380469100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.