Individual provider Active NPI

Darrell Richard Linders, FNP-BC

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1154179422
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11032760 Issued in FL
Practice address
5062 SW 173Rd Ave
Miramar, FL 33029-5094
Phone
(361) 793-8927
NPI assigned
May 10, 2024
Last updated
May 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 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 APRN11032760 FL Primary

Addresses

Primary practice location

5062 SW 173Rd Ave
Miramar, FL 33029-5094

Mailing address

5062 SW 173Rd Ave
Miramar, FL 33029-5094
Phone (361) 793-8927

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
I20241030002453 FL Practitioner - Nurse Practitioner 8921531880 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11032760FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Anesthesia Associates LLC CurrentSince Oct 1, 2024 Accepting new patients
Baptist Surgery and Endoscopy Centers LLC CurrentSince Oct 1, 2024 Accepting new patients
Listen Linda 01 LLC CurrentSince Jun 30, 2024 Accepting new patients

Locations

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

601 N Flamingo Rd
Ste 207
Pembroke Pines, FL 33028
Phone (654) 963-6363

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

325 Avenue B NW
Winter Haven, FL 33881
Phone (800) 364-9216

Interoperability endpoints

  • Direct secure messaging: darrell.linders.1@30104.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1154179422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5062 SW 173RD AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295094",
            "telephone_number": "361-793-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5062 SW 173RD AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295094",
            "telephone_number": "361-793-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDERS",
        "first_name": "DARRELL",
        "middle_name": "RICHARD",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.