Active NPI
Daniel L Kollwitz, ARNP
- Pediatric Nurse Practitioner
- Hollywood, FL
National Provider Identifier
1225196819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP2056322
- Practice address
- 1150 N 35 Ave
Suite 545
Hollywood, FL 33021 - Phone
- (954) 967-9400
- Fax
- (954) 967-9551
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP2056322 | FL | Primary |
Addresses
Primary practice location
1150 N 35 Ave
Suite 545
Hollywood, FL 33021
Mailing address
5955 Ponce de Leon Blvd.
Coral Gables, FL 33146-2423
Phone (305) 661-1515
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dkollwitz412936@Direct.leememorial.org | Direct | Lee Memorial Health System |
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 |
|---|---|---|---|
| ARNP2056322 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Medical Services, Inc | Past | Accepting new patients | |
| Kidz Medical Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- dkollwitz412936@direct.leememorial.org
Organizations & group practices 2
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.
-
- Children's Hospital
- Coral Gables, FL
- NPI 1366408379
-
- Pediatric Gastroenterology Physician
- Hollywood, FL
- NPI 1306191580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1225196819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5955 PONCE DE LEON BLVD.",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462423",
"telephone_number": "305-661-1515",
"fax_number": "305-662-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N 35 AVE",
"address_2": "SUITE 545",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33021",
"telephone_number": "954-967-9400",
"fax_number": "954-967-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLWITZ",
"first_name": "DANIEL",
"middle_name": "L",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP2056322",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dkollwitz412936@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.