Individual provider Active NPI

Daphne Louise Weeks, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Gibsonton, FL
National Provider Identifier
1750981890
Registry record updated Jun 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11013643 Issued in FL
Practice address
12220 Ledbury Commons Dr
Gibsonton, FL 33534-3025
Phone
(888) 888-8888
NPI assigned
Oct 28, 2020
Last updated
Jun 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11013643 FL Primary

Addresses

Primary practice location

12220 Ledbury Commons Dr
Gibsonton, FL 33534-3025

Mailing address

12220 Ledbury Commons Dr
Gibsonton, FL 33534-3025
Phone (813) 619-1740

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
I20220415000158 FL Practitioner - Nurse Practitioner 6901292143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerstone of Florida IncGroup PAC ID 2668468596, 35 clinicians

Practice addresses (Care Compare)

379 6TH Ave W
Bradenton, FL 34205-8820
Phone (941) 782-4150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11013643FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Florida, Inc. CurrentSince Jan 11, 2022 Accepting new patients
Centerstone of Florida, Inc. PastSince Jul 4, 2021 Accepting new patients

Locations

2020 26th Ave E
Bradenton, FL 34208
Phone (941) 782-4600

379 6th Ave W
Bradenton, FL 34205
Phone (941) 782-4100

4010 Sawyer Rd
Sarasota, FL 34233
Phone (941) 924-9892

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": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1750981890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 LEDBURY COMMONS DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343025",
            "telephone_number": "813-619-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 LEDBURY COMMONS DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343025",
            "telephone_number": "888-888-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "DAPHNE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11013643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonton, FL

Sources for this page

Verify at the official NPI Registry.