Dannielle Lorain O'Hare, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9188400 Issued in FL

Practice address

2795 W New Haven Ave
West Melbourne, FL 32904-3705

Phone

(321) 622-8626

Fax

(321) 622-8627

NPI assigned

Sep 26, 2017

Last updated

Apr 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dannielle Deatherage Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Brevard Internal Medicine & Walk-in Clinic

  • Primary Care Clinic/Center
  • W Melbourne, FL
  • NPI 1710216262
  Medicare reassignment NPD
• Florida Pain and Rehabilitation Associates Inc

  • Interventional Pain Medicine Physician
  • Delray Beach, FL
  • NPI 1902064876
  Medicare reassignment NPD
• National Surgical Centers of America LLC

  dba NSCOA The Villages

  • Ambulatory Surgical Clinic/Center
  • Lady Lake, FL
  • NPI 1063853174
  Medicare reassignment NPD
• National Surgical Centers of America LLC

  dba Nscoa

  • Ambulatory Surgical Clinic/Center
  • Winter Park, FL
  • NPI 1770724122
  Medicare reassignment NPD
• National Surgical Centers of America LLC

  dba NSCOA Delray Beach

  • Ambulatory Surgical Clinic/Center
  • Delray Beach, FL
  • NPI 1992040976
  Medicare reassignment NPD
• National Surgical Centers of America LLC

  dba NSCOA Port St. Lucie

  • Ambulatory Surgical Clinic/Center
  • Port St Lucie, FL
  • NPI 1346662186
  Medicare reassignment

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1750890471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 W NEW HAVEN AVE",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043705",
            "telephone_number": "321-622-8626",
            "fax_number": "321-622-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 W NEW HAVEN AVE",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043705",
            "telephone_number": "321-622-8626",
            "fax_number": "321-622-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARE",
        "first_name": "DANNIELLE",
        "middle_name": "LORAIN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9188400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANNIELLE",
            "last_name": "DEATHERAGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• National Vision, Inc. (America's Best Contacts & Eyeglasses)
• Layla E Nauman
• Amy Nies
• Northland Hearing Centers, Inc. (All About Hearing Aids)
• Northport Health Services of Florida, LLC (West Melbourne Health & Rehabilitation Center)
• Jasana Moraes Oakwood
• Natsuko Okamura, MSN, ARNP, FNP-C
• One to One Rehab Strength and Wellness LLC
• Jenevieve Serilo Oquendo
• Osler Medical Inc

• Family Nurse Practitioner in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.