Individual provider Active NPI

Faith Daza, MSN, APRN, FNP - C

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1902430473
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11006284 Issued in FL
Practice address
14315 Golden Rain Tree Blvd
Orlando, FL 32828-4843
Phone
(305) 608-6797
NPI assigned
Feb 24, 2020
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11006284 FL Primary

Addresses

Primary practice location

14315 Golden Rain Tree Blvd
Orlando, FL 32828-4843

Mailing address

14315 Golden Rain Tree Blvd
Orlando, FL 32828-4843

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
I20200930000962 FL Practitioner - Nurse Practitioner 1850710575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
House Call M.D.'S L.L.CGroup PAC ID 5496033839, 12 clinicians

Practice addresses (Care Compare)

2400 Maitland Ctr Pkwy
Suite 310
Maitland, FL 32751-7442
Phone (407) 426-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
House Call M.D.'S L.L.C. CurrentSince Jul 1, 2020 Accepting new patients
Kopa LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

2400 Maitland Center Pkwy
Ste 310
Maitland, FL 32751
Phone (352) 329-1800

2000 N Semoran Blvd
Orlando, FL 32807
Phone (407) 641-5400

5900 Lk Ellenor Dr
Ste 700
Orlando, FL 32809
Phone (407) 216-0101

Interoperability endpoints

  • Direct secure messaging: fdaza@direct-address.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1902430473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14315 GOLDEN RAIN TREE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 GOLDEN RAIN TREE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284843",
            "telephone_number": "305-608-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAZA",
        "first_name": "FAITH",
        "credential": "MSN, APRN, FNP - C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11006284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.