Active NPI
Dasia Isom
- Independent Medical Examiner Physician
- Gainesville, FL
National Provider Identifier
1861153256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Physician
- License
- 12264
- Practice address
- 992 SE 41St Dr Apt 233
Gainesville, FL 32641-8442 - Phone
- (401) 298-0923
- NPI assigned
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Physician | 202C00000X | 12264 | FL | Primary |
Addresses
Primary practice location
992 SE 41St Dr Apt 233
Gainesville, FL 32641-8442
Mailing address
992 SE 41St Dr Apt 233
Gainesville, FL 32641-8442
Phone (401) 298-0923
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12264 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1861153256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "992 SE 41ST DR APT 233",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326418442",
"telephone_number": "401-298-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "992 SE 41ST DR APT 233",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326418442",
"telephone_number": "401-298-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISOM",
"first_name": "DASIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "202C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Independent Medical Examiner",
"state": "FL",
"license": "12264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.