Daniela Contreras, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9117156 Issued in FL

Practice address

2202 S Cypress Bend Dr Apt 407
Pompano Beach, FL 33069-4434

Phone

(954) 682-1553

NPI assigned

Feb 24, 2023

Sex

Female

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

Physician Assistant

Education

Barry University School of Podiatric Medicine, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Stedfast Medical Services LLCGroup PAC ID 4981000999, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Stedfast Medical Services LLC

  • Psychiatry Physician
  • Palm Beach Gardens, FL
  • NPI 1508438284
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1194424598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 S CYPRESS BEND DR APT 407",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694434",
            "telephone_number": "954-682-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 S CYPRESS BEND DR APT 407",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694434",
            "telephone_number": "954-682-1553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8030 Peters Rd Ste D106",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333244038",
            "country_code": "US",
            "telephone_number": "561-402-3971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10301 Hagen Ranch Rd # D270",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373724",
            "country_code": "US",
            "telephone_number": "561-402-3971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "DANIELA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Confirmation Sa Inc (Doctor Dial)
• Conner Industries, Inc
• Tiffaney Schippert Conner, BS, MAT
• Brandi Lynn Connolly
• Continued Sobriety LLC
• Kristina Marie Contreras
• Conviva Medical Center Management LLC
• Conviva Medical Center Management LLC
• Mary Coonan, LCSW
• Earnestine Cooper

• Physician Assistant in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.