Individual provider Active NPI

Dianellys Pinto, APRN

  • Family Nurse Practitioner
  • Beverly Hills, FL
National Provider Identifier
1962174185
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11015419 Issued in FL
Practice address
6279 N Lecanto Hwy
Beverly Hills, FL 34465-2503
Phone
(352) 522-0094
Fax
(352) 522-0098
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11015419 FL
Family Nurse Practitioner 363LF0000X RN9509344 FL
Family Nurse Practitioner 363LF0000X APRN11015419 FL Primary

Addresses

Primary practice location

6279 N Lecanto Hwy
Beverly Hills, FL 34465-2503

Mailing address

13136 Siam Dr
Spring Hill, FL 34609-1370
Phone (352) 584-1033

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
I20211203000505 FL Practitioner - Nurse Practitioner 9436549508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Holdings Company LLCGroup PAC ID 8224323050, 61 clinicians

Practice addresses (Care Compare)

6233 Ridge Rd
Port Richey, FL 34668-6743
Phone (727) 845-3333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015419FLMDFamily Nurse Practitioner
RN9509344FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Holdings Company LLC CurrentSince Mar 27, 2023 Accepting new patients
Palm Medical Centers CurrentSince Mar 27, 2023 Accepting new patients
Absolute Healthcare LLC CurrentSince Nov 9, 2021 Accepting new patients

Locations

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728

6233 Ridge Rd
Port Richey, FL 34668
Phone (727) 845-3333

3378 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 796-7171

6111 Deltona Blvd
Spring Hill, FL 34606
Phone (352) 596-2257

6836 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 778-0454

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1962174185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13136 SIAM DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091370",
            "telephone_number": "352-584-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6279 N LECANTO HWY",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344652503",
            "telephone_number": "352-522-0094",
            "fax_number": "352-522-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTO",
        "first_name": "DIANELLYS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015419",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9509344",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, FL

Sources for this page

Verify at the official NPI Registry.