Active NPI
Kimngoc Thi Dang, ARNP
- Family Nurse Practitioner
- Orlando, FL
National Provider Identifier
1962900407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9331634
- Practice address
- 2441 S Hiawassee Rd
Orlando, FL 32835-6347 - Phone
- (407) 598-0876
- NPI assigned
- Jan 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9331634 | FL | Primary |
Addresses
Primary practice location
2441 S Hiawassee Rd
Orlando, FL 32835-6347
Mailing address
2441 S Hiawassee Rd
Orlando, FL 32835-6347
Phone (407) 598-0876
Other practice location 1
6150 Oak Tree Blvd Ste 200
Independence, OH 44131
Phone (216) 581-6556
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9331634 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1962900407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 S HIAWASSEE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328356347",
"telephone_number": "407-598-0876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 S HIAWASSEE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328356347",
"telephone_number": "407-598-0876"
}
],
"practiceLocations": [
{
"address_1": "6150 Oak Tree Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "OH",
"postal_code": "44131",
"country_code": "US",
"telephone_number": "216-581-6556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANG",
"first_name": "KIMNGOC",
"middle_name": "THI",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9331634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.