NPIMap

Organization Active NPI

Levante Medical LLC

  • Primary Care Nurse Practitioner
  • Wildwood, FL
National Provider Identifier
1801183397
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP2152202 Issued in FL
Legal business name
LEVANTE MEDICAL LLC
Practice address
112 S Main St
Wildwood, FL 34785-4539
Phone
(352) 250-2610
Fax
(352) 326-9266
NPI assigned
Jul 5, 2011
Last updated
Aug 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Donna Jean O'Hara, ARNP-BCNPI 1710186267
Title
Owner
Phone
(352) 250-2610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP2152202 FL Primary

Addresses

Primary practice location

112 S Main St
Wildwood, FL 34785-4539

Mailing address

1638 Leesburg Blvd
Fruitland Park, FL 34731-5215
Phone (352) 326-4269

Other identifiers 3

IdentifierTypeStateIssuer
1710186267OtherFLNPI INDIVIDUAL RENDERING PROVIDER
000360200OtherFLMEDICAID INDIVIDUAL PROVIDER NUMBER - SEE OTHER #'S DESIGNATED FOR LLC
AL386OtherFLMEDICARE INDIVIDUAL PROVIDER NUMBER - SEE OTHER DESIGNATED #'S FOR LLC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1801183397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 LEESBURG BLVD",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347315215",
            "telephone_number": "352-326-4269",
            "fax_number": "352-326-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347854539",
            "telephone_number": "352-250-2610",
            "fax_number": "352-326-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVANTE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "O'HARA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-250-2610",
        "authorized_official_credential": "ARNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP2152202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL RENDERING PROVIDER",
            "identifier": "1710186267",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL PROVIDER NUMBER - SEE OTHER #'S DESIGNATED FOR LLC",
            "identifier": "000360200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PROVIDER NUMBER - SEE OTHER DESIGNATED #'S FOR LLC",
            "identifier": "AL386",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.