Individual provider Active NPI

Donas Marie Usina, APRN, AGNP-C

  • Gerontology Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1992304133
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11009668 Issued in FL
Practice address
1052 W Sr 436 Ste 1072
Altamonte Springs, FL 32714-2939
Phone
(321) 972-6159
Fax
(321) 326-1524
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11009668 FL Primary

Addresses

Primary practice location

1052 W Sr 436 Ste 1072
Altamonte Springs, FL 32714-2939

Mailing address

865 Gulf Land Dr
Apopka, FL 32712-4847
Phone (407) 595-7002

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
I20210506000142 FL Order and Referring Only - Nurse Practitioner 7810306743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11009668FLMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1992304133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 GULF LAND DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124847",
            "telephone_number": "407-595-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 W SR 436 STE 1072",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142939",
            "telephone_number": "321-972-6159",
            "fax_number": "321-326-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USINA",
        "first_name": "DONAS",
        "middle_name": "MARIE",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11009668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.