Individual provider Active NPI

Dana L Avant

  • Non-emergency Medical Transport (VAN)
  • Eustis, FL
National Provider Identifier
1902227465
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
571233178 Issued in FL
Practice address
2212 Hollywood Ave
Eustis, FL 32726-3218
Phone
(352) 348-2016
NPI assigned
Dec 30, 2013
Last updated
Dec 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 571233178 FL
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 571233178 FL
Non-emergency Medical Transport (VAN) 343900000X 571233178 FL Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 571233178 FL

Addresses

Primary practice location

2212 Hollywood Ave
Eustis, FL 32726-3218

Mailing address

2212 Hollywood Ave
Eustis, FL 32726-3218
Phone (352) 348-2016

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
571233178FLMDIntellectual and/or Developmental Disabilities Residential Treatment Facility

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1902227465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 HOLLYWOOD AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263218",
            "telephone_number": "352-348-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 HOLLYWOOD AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263218",
            "telephone_number": "352-348-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVANT",
        "first_name": "DANA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "571233178",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "FL",
            "license": "571233178",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "571233178",
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "FL",
            "license": "571233178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.