Individual provider Active NPI

Diane Marjorie Favorite

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1942098603
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033848 Issued in FL
Practice address
7131 46TH Avenue Cir E
Bradenton, FL 34203-7993
Phone
(941) 264-8355
Fax
(941) 264-8355
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11033848 FL Primary

Addresses

Primary practice location

7131 46TH Avenue Cir E
Bradenton, FL 34203-7993

Mailing address

7131 46TH Avenue Cir E
Bradenton, FL 34203-7993
Phone (941) 264-8355

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
I20260225001075 FL Practitioner - Nurse Practitioner 6103307491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1700 S Tamiami Trail
FPG Central Billing Office
Sarasota, FL 34239

7131 46TH Ave Cir E
Bradenton, FL 34203-7993

PO Box
Atlanta, GA 30394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11033848FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc CurrentSince Apr 13, 2026 Accepting new patients

Locations

8430 Enterprise Cir
Ste 130
Lakewood Ranch, FL 34202
Phone (941) 366-3000

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

Organizations & group practices 1

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": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1942098603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 46TH AVENUE CIR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037993",
            "telephone_number": "941-264-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 46TH AVENUE CIR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037993",
            "telephone_number": "941-264-8355",
            "fax_number": "941-264-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVORITE",
        "first_name": "DIANE",
        "middle_name": "MARJORIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.