Individual provider Active NPI

Wahida Rahaman-Dwarika, FNP

  • Family Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1023633104
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006378 Issued in FL
Practice address
2324 Oak Myrtle LN
Wesley Chapel, FL 33544-6319
Phone
(813) 844-8300
NPI assigned
Jun 14, 2020
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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 APRN11006378 FL Primary

Addresses

Primary practice location

2324 Oak Myrtle LN
Wesley Chapel, FL 33544-6319

Mailing address

2324 Oak Myrtle LN
Wesley Chapel, FL 33544-6319
Phone (813) 844-8300

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
I20210824001447 FL Practitioner - Nurse Practitioner 6507261922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

10909 W Linebaugh Ave
Tampa, FL 33626-1741
Phone (813) 844-4800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11006378FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Aug 9, 2021 Accepting new patients
Tampa General Medical Group Inc CurrentSince Aug 9, 2021 Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

10909 W Linebaugh Ave
Tampa, FL 33626
Phone (813) 844-4800

2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200

2324 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 844-8300

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: wrahamandwarika9963@direct.tgh.org

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1023633104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 OAK MYRTLE LN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446319",
            "telephone_number": "813-844-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 OAK MYRTLE LN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446319",
            "telephone_number": "813-844-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHAMAN-DWARIKA",
        "first_name": "WAHIDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-14",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.