Individual provider Active NPI

Shelly A Tahal, ARNP

  • Acute Care Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1194747212
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN3267092 Issued in FL
Practice address
1480 N University Dr
Coral Springs, FL 33071-6040
Phone
(954) 840-0530
Fax
(954) 840-3570
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN3267092 FL Primary

Addresses

Primary practice location

1480 N University Dr
Coral Springs, FL 33071-6040

Mailing address

1480 N University Dr
Coral Springs, FL 33071-6040
Phone (954) 840-0530

Other practice location 1

1101 Wynmoor Cir
Ste 120
Coconut Creek, FL 33066
Phone (954) 840-0530

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
I20160208001008 FL Practitioner - Nurse Practitioner 2062716392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Heart and Vascular Center PAGroup PAC ID 5496802233, 4 clinicians

Practice addresses (Care Compare)

2923 S Federal Hwy
Suite 100
Boynton Beach, FL 33435-7745
Phone (561) 752-0100

Hospital & facility affiliations

  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN3267092FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital Inc CurrentSince Nov 1, 2022 Accepting new patients
Holy Cross Hospital, Inc CurrentSince Nov 1, 2022 Accepting new patients
Daniel Heart & Vascular Center PA CurrentSince Jun 9, 2025 Accepting new patients
DRS. Labi & Brady, PA Past Accepting new patients

Locations

2923 S Federal Hwy
Ste 100
Boynton Beach, FL 33435
Phone (561) 740-0100

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: stahal2260038@direct.trinity-health.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEABD/Endpoint/EFEABD
  • Direct secure messaging: shelly.tahal@hca4.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1194747212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716040",
            "telephone_number": "954-840-0530",
            "fax_number": "954-840-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716040",
            "telephone_number": "954-840-0530",
            "fax_number": "954-840-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Wynmoor Cir",
            "address_2": "Ste 120",
            "address_purpose": "LOCATION",
            "city": "Coconut Creek",
            "state": "FL",
            "postal_code": "33066",
            "country_code": "US",
            "telephone_number": "954-840-0530",
            "fax_number": "954-840-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHAL",
        "first_name": "SHELLY",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APN3267092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.