Individual provider Active NPI

Dayana Fernandez-Pacheco Gorrin, CBHCMS

  • Case Manager/Care Coordinator
  • Lutz, FL
National Provider Identifier
1942018809
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
0102769 Issued in FL
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

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0102769FLMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Wonderful Admirable Care LLC Current Accepting new patients
Ebenezer Consulting and Counseling, LLC CurrentSince Dec 29, 2024 Accepting new patients
Ebenezer Consulting and Counseling, LLC CurrentSince Sep 14, 2025 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.

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.

Verify at the official NPI Registry.