Individual provider Active NPI

Donna A Calvelli, ARNP

  • Pediatric Nurse Practitioner
  • Merritt Island, FL
National Provider Identifier
1871551218
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP1142902 Issued in FL
Practice address
270 N Sykes Creek Pkwy
Unit 108
Merritt Island, FL 32953
Phone
(321) 452-1061
Fax
(321) 453-0866
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 1142902 FL
Licensed Practical Nurse 164W00000X ARNP1142902 FL
Pediatric Nurse Practitioner 363LP0200X ARNP1142902 FL Primary

Addresses

Primary practice location

270 N Sykes Creek Pkwy
Unit 108
Merritt Island, FL 32953

Mailing address

PO Box 541216
Merritt Island, FL 32954-1216
Phone (321) 452-1061

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

LicenseStateTypeSpecialty
1142902FLMDLicensed Practical Nurse
ARNP1142902FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Coast Pediatrics, M.D. P.a. Past Accepting new patients

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1871551218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541216",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329541216",
            "telephone_number": "321-452-1061",
            "fax_number": "321-453-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N SYKES CREEK PKWY",
            "address_2": "UNIT 108",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "32953",
            "telephone_number": "321-452-1061",
            "fax_number": "321-453-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVELLI",
        "first_name": "DONNA",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "1142902",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "ARNP1142902",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP1142902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.