Active NPI
Dayana Fernandez-Pacheco Gorrin, CBHCMS
- Case Manager/Care Coordinator
- Lutz, FL
National Provider Identifier
1942018809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 0102769
- Practice address
- 1539 Dale Mabry Hwy Ste 102
Lutz, FL 33548-3008 - Phone
- (813) 909-7102
- Fax
- (813) 909-0199
- NPI assigned
- Dec 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 0102769 | FL | Primary |
Addresses
Primary practice location
1539 Dale Mabry Hwy Ste 102
Lutz, FL 33548-3008
Mailing address
22711 Sills Loop
Land O Lakes, FL 34639-4054
Phone (813) 599-2784
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 |
|---|---|---|---|
| 0102769 | FL | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wonderful Admirable Care LLC | Current | Accepting new patients | |
| Ebenezer Consulting and Counseling, LLC | Current | Accepting new patients | |
| Ebenezer Consulting and Counseling, LLC | Current | Accepting new patients | |
| Myrtle Ridge Primary Care, P.a | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lutz, FL
- NPI 1366309585
-
- Case Management Agency
- Lutz, FL
- NPI 1841170909
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tampa, FL
- NPI 1689530453
-
- General Practice Physician
- Lutz, FL
- NPI 1619504354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1942018809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22711 SILLS LOOP",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346394054",
"telephone_number": "813-599-2784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1539 DALE MABRY HWY STE 102",
"city": "LUTZ",
"state": "FL",
"postal_code": "335483008",
"telephone_number": "813-909-7102",
"fax_number": "813-909-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ-PACHECO GORRIN",
"first_name": "DAYANA",
"credential": "CBHCMS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-24",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "0102769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.