Active NPI
Diane Elizabeth Mancini, ARNP
- Family Nurse Practitioner
- Winter Park, FL
National Provider Identifier
1972633212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3365482
- Practice address
- 100 N Edinburgh Dr Ste 102
Winter Park, FL 32792-4125 - Phone
- (407) 303-4190
- Fax
- (407) 303-4192
- NPI assigned
- Mar 6, 2007
- 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 | ARNP3365482 | FL | Primary |
Addresses
Primary practice location
100 N Edinburgh Dr Ste 102
Winter Park, FL 32792-4125
Mailing address
100 N Edinburgh Dr Ste 102
Winter Park, FL 32792-4125
Phone (407) 303-4190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308096000 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
400 Celebration Pl
Ste A310
Kissimmee, FL 34747
Phone (407) 303-4190
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
100 N Edinburgh Dr
Ste 102
Winter Park, FL 32792
Phone (407) 303-4190
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1972633212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N EDINBURGH DR STE 102",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924125",
"telephone_number": "407-303-4190",
"fax_number": "407-303-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N EDINBURGH DR STE 102",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924125",
"telephone_number": "407-303-4190",
"fax_number": "407-303-4192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCINI",
"first_name": "DIANE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3365482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308096000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.