Individual provider Active NPI

Mary Elizabeth D'Aunoy, M.D.

  • Pediatrics Physician
  • Lakeland, FL
National Provider Identifier
1922169150
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME123469 Issued in FL
Practice address
601 S Florida Ave
Suite 6
Lakeland, FL 33801-5237
Phone
(863) 688-0841
Fax
(863) 616-9709
NPI assigned
Dec 12, 2006
Last updated
Sep 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME123469 FL Primary

Addresses

Primary practice location

601 S Florida Ave
Suite 6
Lakeland, FL 33801-5237

Mailing address

47 5TH St NW
Winter Haven, FL 33881-4672
Phone (863) 291-5110

Other identifiers 1

IdentifierTypeStateIssuer
015572400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151001003019 FL Practitioner - Pediatric Medicine 3779891239 Reassigns benefits to 1 organization
I20250415002939 SC Practitioner - Pediatric Medicine 3779891239 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Community Health Care, Inc CurrentSince Apr 1, 2025 Accepting new patients
Foothills Community Health Care, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Central Florida Health Care, Inc. CurrentSince Aug 24, 2015 Accepting new patients
Central Florida Health Care, Inc. Current Accepting new patients
Foothills Community Health Care, Inc CurrentSince Apr 1, 2025 Accepting new patients
Central Florida Health Care, Inc CurrentSince Aug 24, 2015 Accepting new patients
Foothills Community Health Care, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Foothills Community Health Care, Inc. Past Accepting new patients

Locations

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600

601 S Florida Ave
Ste 6
Lakeland, FL 33801
Phone (863) 688-0841

106 NW 9th Ave
Mulberry, FL 33860
Phone (863) 291-5117

47 5th St NW
Winter Haven, FL 33881

302 Pearman Dairy Rd
Ste C1
Anderson, SC 29625
Phone (864) 224-0822

110 Liberty Dr
Clemson, SC 29631
Phone (864) 722-0283

403 Hillcrest Dr
Easley, SC 29640
Phone (864) 343-1220

403 Hillcrest Dr
Ste E
Easley, SC 29640
Phone (864) 343-1220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4
  • Direct secure messaging: mary.d.aunoy.1@30137.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1922169150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672",
            "telephone_number": "863-291-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S FLORIDA AVE",
            "address_2": "SUITE 6",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015237",
            "telephone_number": "863-688-0841",
            "fax_number": "863-616-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AUNOY",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME123469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015572400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.