Active NPI
Marlene Segovia, RDMS(BR)
- Diagnostic Ultrasound Physician
- Coconut Creek, FL
National Provider Identifier
1194690115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- L25000409250
- Practice address
- 3351 NW 21St CT
Coconut Creek, FL 33066-2223 - Phone
- (954) 232-2621
- NPI assigned
- Oct 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | L25000409250 | FL | Primary |
Addresses
Primary practice location
3351 NW 21St CT
Coconut Creek, FL 33066-2223
Mailing address
3351 NW 21St CT
Coconut Creek, FL 33066-2223
Phone (954) 232-2621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L25000409250 | FL | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Mobile Ultrasound, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Coconut Creek, FL
- NPI 1588532428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1194690115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3351 NW 21ST CT",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330662223",
"telephone_number": "954-232-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3351 NW 21ST CT",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330662223",
"telephone_number": "954-232-2621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGOVIA",
"first_name": "MARLENE",
"credential": "RDMS(BR)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-08",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "FL",
"license": "L25000409250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.