Individual provider Active NPI

Adrianne Lynn Dimauro, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1861001729
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021003 Issued in FL
Practice address
3365 Burns Rd Ste 101
Palm Beach Gardens, FL 33410-4302
Phone
(561) 775-1061
Fax
(561) 775-1064
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 156232 CT
Family Nurse Practitioner 363LF0000X APRN11021003 FL Primary

Addresses

Primary practice location

3365 Burns Rd Ste 101
Palm Beach Gardens, FL 33410-4302

Mailing address

3365 Burns Rd Ste 101
Palm Beach Gardens, FL 33410-4302
Phone (561) 775-1061

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
I20230404000117 FL Practitioner - Nurse Practitioner 3476928516 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156232CTMDRegistered Nurse
APRN11021003FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Cardiology Center Inc CurrentSince Dec 24, 2022 Accepting new patients
Allergy and Asthma Care of the Palm Beaches, PA PastSince Oct 30, 2022 Accepting new patients

Locations

3365 Burns Rd
Ste 101
Palm Beach Gardens, FL 33410
Phone (561) 627-4767

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5866/brand/1/csg/1/fhir/r4
  • Direct secure messaging: adrianne.wyckoff.1@5866.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIIGBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1861001729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104302",
            "telephone_number": "561-775-1061",
            "fax_number": "561-775-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104302",
            "telephone_number": "561-775-1061",
            "fax_number": "561-775-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAURO",
        "first_name": "ADRIANNE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "156232",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.