Individual provider Active NPI

Dawna Nichole Hazelwood, APRN AGACNP-BC

  • Acute Care Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1942715909
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN9494274 Issued in FL
Practice address
720 W Oak St Ste 360
Kissimmee, FL 34741-4910
Phone
(407) 846-0090
Fax
(407) 846-0072
NPI assigned
Dec 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN202623 GA
Acute Care Nurse Practitioner 363LA2100X RN202623 GA
Acute Care Nurse Practitioner 363LA2100X APRN9494274 FL Primary

Addresses

Primary practice location

720 W Oak St Ste 360
Kissimmee, FL 34741-4910

Mailing address

13818 Old Dock Rd
Orlando, FL 32828-9508
Phone (912) 272-4791

Other names 1

  • Dawna Nichole Neff Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DAWNA.HAZELWOOD@hca4.eclinicaldirectplus.com

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
I20200824000789 FL Practitioner - Nurse Practitioner 8224454111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Associates IncGroup PAC ID 2062300080, 18 clinicians

Practice addresses (Care Compare)

601 Oak Commons Blvd
Kissimmee, FL 34741-4213
Phone 4078460626239

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN202623GAMDCritical Care Medicine Registered Nurse
APRN9494274FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates Inc CurrentSince Aug 15, 2022 Accepting new patients

Locations

601 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 846-0626

2450 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 846-4343

Interoperability endpoints

  • Direct secure messaging: dawna.hazelwood@hca4.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCFIAD

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.

Hospital & facility affiliations 3

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": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1942715909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13818 OLD DOCK RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289508",
            "telephone_number": "912-272-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W OAK ST STE 360",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414910",
            "telephone_number": "407-846-0090",
            "fax_number": "407-846-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELWOOD",
        "first_name": "DAWNA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2022-01-24",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "GA",
            "license": "RN202623",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN202623",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN9494274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DAWNA.HAZELWOOD@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "720 W Oak St Ste 360",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347414910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAWNA",
            "last_name": "NEFF",
            "middle_name": "NICHOLE",
            "credential": "AG-ACNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.