NPIMap

Individual provider Active NPI

Daniel Richard Damitio, NP-C

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1982180386
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902702 Issued in MS
Practice address
2781 C T Switzer Sr Dr Ste 400
Biloxi, MS 39531-4535
Phone
(228) 388-4585
NPI assigned
Jul 18, 2018
Last updated
Jul 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902702 MS Primary

Addresses

Primary practice location

2781 C T Switzer Sr Dr Ste 400
Biloxi, MS 39531-4535

Mailing address

2781 C T Switzer Sr Dr Ste 400
Biloxi, MS 39531-4535
Phone (228) 388-4585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181221001440 MS Practitioner - Nurse Practitioner 9739424664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

715 A Division St
Biloxi, MS 39530-2209
Phone (229) 374-4991

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Health Center, Inc CurrentSince Dec 5, 2018 Accepting new patients
Coastal Family Health Center, Inc CurrentSince Dec 5, 2018 Accepting new patients
Coastal Family Health Center, Inc Current Accepting new patients

Locations

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

715A Division St
Biloxi, MS 39530
Phone (228) 374-4991

15024 Mlk
Gulfport, MS 39501
Phone (228) 846-0003

Interoperability endpoints

  • Direct secure messaging: daniel.damitio.p1@direct.cfhc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 60

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 60

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1982180386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 C T SWITZER SR DR STE 400",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314535",
            "telephone_number": "228-388-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 C T SWITZER SR DR STE 400",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314535",
            "telephone_number": "228-388-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMITIO",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.