Daryl Keith Wasserman, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11023601 Issued in FL

Practice address

11751 SW 3Rd St
Plantation, FL 33325-2911

Phone

(754) 422-5930

NPI assigned

Dec 27, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Amanda Patterson, LMHC, LLCGroup PAC ID 5193250207, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Amanda Patterson, LMHC, LLC

  • Mental Health Counselor
  • Davie, FL
  • NPI 1265815351
  Medicare reassignment Care Compare group NPD
• Sensory Learning ABA LLC

  • Behavior Analyst
  • Hialeah, FL
  • NPI 1730884651
  NPD Authorized official

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1043923865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 SW 3RD ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252911",
            "telephone_number": "754-422-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 SW 3RD ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252911",
            "telephone_number": "754-422-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "DARYL",
        "middle_name": "KEITH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-27",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11023601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan N Ward, CRNA
• Samuel Tristan Ward, DO
• Stephen Vincent Warden, PA-C
• Dana Warman
• Valerie L. Washington, RN
• Wastetrans LLC
• Waterman Dermatology, PA
• Randi E Waton, M.S., CCC-SLP
• Caryn Watsky-Scileppi, PHD
• Wayne J M Fraser MD PA

• Psychiatric/Mental Health Nurse Practitioner in Plantation, FL
• Providers in Plantation, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.