Individual provider Active NPI

Darlene K Berger, ARNP, RN

  • Pediatric Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1851484364
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP 3183632 Issued in FL
Practice address
2900 Upper Park Rd
Orlando, FL 32814-6100
Phone
(407) 623-1415
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP 3183632 FL Primary

Addresses

Primary practice location

2900 Upper Park Rd
Orlando, FL 32814-6100

Mailing address

1442 Trailhead PT
Winter Springs, FL 32708-0029
Phone (407) 716-6443

Other practice location 1

1528 Sunrise Plaza Dr
Suite One
Clermont, FL 34714-6205
Phone (352) 394-7728

Other identifiers 1

IdentifierTypeStateIssuer
304853500MedicaidFL

Other names 1

  • Darlene K Beaty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP 3183632FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Davenport Pediatrics Clermont, P.a. Past Accepting new patients

Interoperability endpoints

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

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1851484364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 TRAILHEAD PT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327080029",
            "telephone_number": "407-716-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 UPPER PARK RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146100",
            "telephone_number": "407-623-1415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 Sunrise Plaza Dr",
            "address_2": "Suite One",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347146205",
            "country_code": "US",
            "telephone_number": "352-394-7728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "DARLENE",
        "middle_name": "K",
        "credential": "ARNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP 3183632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304853500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLENE",
            "last_name": "BEATY",
            "middle_name": "K",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.