Individual provider Active NPI

Dominique Alicia Bryan, APRN

  • Family Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1770330599
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11032913 Issued in FL
Practice address
1013 N Sr 434 Ste 1060
Altamonte Springs, FL 32714-7078
Phone
(407) 867-0008
Fax
(407) 477-5668
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 APRN11032913 FL Primary
Registered Nurse 163W00000X RN9587343 FL

Addresses

Primary practice location

1013 N Sr 434 Ste 1060
Altamonte Springs, FL 32714-7078

Mailing address

1013 N Sr 434 Ste 1060
Altamonte Springs, FL 32714-7078
Phone (407) 867-0008

Other names 1

  • Dominique Alicia Gillespie Former name

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
I20251016000748 FL Practitioner - Nurse Practitioner 2668969387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Sunshine Family Care LLCGroup PAC ID 4880049675, 12 clinicians

Practice addresses (Care Compare)

1013 N State Rd
434 Suite 1060
Altamonte Springs, FL 32714-7078
Phone (407) 883-0908

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9587343FLMDRegistered Nurse
APRN11032913FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Family Care LLC CurrentSince Aug 9, 2025 Accepting new patients

Locations

1013 N State Road 434
Ste 1060
Altamonte Springs, FL 32714
Phone (407) 867-0008

2277 Lee Rd
Winter Park, FL 32789

Interoperability endpoints

  • Direct secure messaging: dbryan200010@adventhealth.direct-ci.com

Organizations & group practices 1

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": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1770330599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 N SR 434 STE 1060",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147078",
            "telephone_number": "407-867-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 N SR 434 STE 1060",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147078",
            "telephone_number": "407-867-0008",
            "fax_number": "407-477-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "DOMINIQUE",
        "middle_name": "ALICIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032913",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9587343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "GILLESPIE",
            "middle_name": "ALICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.