Individual provider Active NPI

Darmeta Rashane Bradley, APRN

  • Family Health Clinical Nurse Specialist
  • Apopka, FL
National Provider Identifier
1750851044
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
APRN11000321 Issued in FL
Practice address
1949 Beacon Bay CT
Apopka, FL 32712-8190
Phone
(407) 446-5004
NPI assigned
Nov 28, 2018
Last updated
Nov 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X APRN11000321 FL Primary

Addresses

Primary practice location

1949 Beacon Bay CT
Apopka, FL 32712-8190

Mailing address

1949 Beacon Bay CT
Apopka, FL 32712-8190
Phone (407) 446-5004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, 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
I20200402001910 AK Practitioner - Nurse Practitioner 1951730563 Reassigns benefits to 2 organizations
I20230123000106 FL Practitioner - Nurse Practitioner 1951730563 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000321FLMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation CurrentSince Feb 8, 2020 Accepting new patients
Norton Sound Health Corporation CurrentSince Feb 8, 2020 Accepting new patients
Alina Community Center at Mount Dora LLC CurrentSince Oct 2, 2022 Accepting new patients
Alina Community Center at Mount Dora LLC CurrentSince Oct 2, 2022 Accepting new patients

Locations

4601 N Highway 19A
Ste B
Mount Dora, FL 32757
Phone (352) 602-7924

Interoperability endpoints

  • Direct secure messaging: dbradley@direct.nshcorp.org

Organizations & group practices 5

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": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1750851044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 BEACON BAY CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327128190",
            "telephone_number": "407-446-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 BEACON BAY CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327128190",
            "telephone_number": "407-446-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "DARMETA",
        "middle_name": "RASHANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "FL",
            "license": "APRN11000321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.