Individual provider Active NPI

Tabitha Ariel Dudak, APRN

  • Family Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1124831110
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN9588323 Issued in FL
Practice address
3889 Military TRL Ste 103
Jupiter, FL 33458-2923
Phone
(561) 468-2370
Fax
(561) 566-1884
NPI assigned
Jan 31, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 RN9588323 FL Primary

Addresses

Primary practice location

3889 Military TRL Ste 103
Jupiter, FL 33458-2923

Mailing address

2962 SW Sunset Trace Cir
Palm City, FL 34990-2627
Phone (561) 662-7193

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
I20250311002485 FL Practitioner - Nurse Practitioner 6204357825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Xpress Urgent Care LLCGroup PAC ID 0042454944, 31 clinicians

Practice addresses (Care Compare)

3889 Military TRL
Suite 103
Jupiter, FL 33458-2923
Phone (561) 468-2370

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9588323FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Consultants of Florida, LLC Current Accepting new patients
Xpress Urgent Care, LLC. CurrentSince Feb 2, 2025 Accepting new patients

Locations

3889 Military Trl
Ste 103
Jupiter, FL 33458
Phone (561) 468-2370

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1124831110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 SW SUNSET TRACE CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902627",
            "telephone_number": "561-662-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3889 MILITARY TRL STE 103",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582923",
            "telephone_number": "561-468-2370",
            "fax_number": "561-566-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDAK",
        "first_name": "TABITHA",
        "middle_name": "ARIEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9588323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.