Individual provider Active NPI

Dovie Nile Tinana, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1962889048
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN2881362 Issued in FL
Practice address
4475 San Juan Ave
Jacksonville, FL 32210-3357
Phone
(904) 389-0314
NPI assigned
Apr 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP2881362 FL
Nurse Practitioner 363L00000X APRN2881362 FL Primary

Addresses

Primary practice location

4475 San Juan Ave
Jacksonville, FL 32210-3357

Mailing address

5284 Camelot Forest Dr
Jacksonville, FL 32258-1533
Phone (904) 292-3986

Other practice location 1

820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Phone (904) 202-3860

Other names 1

  • Mrs. Dovie Nile Ines Former name

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
I20150914000802 FL Practitioner - Nurse Practitioner 1759698475 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians
Sunshine Health Partners LLCGroup PAC ID 5597173328, 51 clinicians

Practice addresses (Care Compare)

1586 Branan Field Rd
Middleburg, FL 32068-8427
Phone (904) 282-8000

80 W Lucerne Cir
Orlando, FL 32801-3779
Phone (337) 408-0805

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2881362FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Health Partners, LLC CurrentSince Nov 5, 2024 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Mar 2, 2026 Accepting new patients
Curana Health of Florida LLC CurrentSince Nov 5, 2024 Accepting new patients
Baptist Primary Care Inc Nurse Practitioner Past Accepting new patients

Locations

2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

1586 Branan Field Rd
Middleburg, FL 32068
Phone (904) 282-8000

80 W Lucerne Cir
Orlando, FL 32801
Phone (407) 839-5050

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

Organizations & group practices 5

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1962889048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5284 CAMELOT FOREST DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581533",
            "telephone_number": "904-292-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 SAN JUAN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103357",
            "telephone_number": "904-389-0314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Prudential Dr Ste 304",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078205",
            "country_code": "US",
            "telephone_number": "904-202-3860",
            "fax_number": "904-202-3846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINANA",
        "first_name": "DOVIE",
        "middle_name": "NILE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2881362",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN2881362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOVIE",
            "last_name": "INES",
            "middle_name": "NILE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.