Active NPI
Sepideh Nadery
- Student in an Organized Health Care Education/Training Program
- Hollywood, FL
National Provider Identifier
1225823107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1005 Joe Dimaggio Dr
Hollywood, FL 33021-5402 - Phone
- (954) 593-4424
- NPI assigned
- Apr 11, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1005 Joe Dimaggio Dr
Hollywood, FL 33021-5402
Mailing address
4532 S Aqua Bella LN
Fort Lauderdale, FL 33312-5667
Phone (214) 616-8219
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250627001040 | FL | Order and Referring Only - Pediatric Medicine | 0143733741 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1225823107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4532 S AQUA BELLA LN",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333125667",
"telephone_number": "214-616-8219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 JOE DIMAGGIO DR",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215402",
"telephone_number": "954-593-4424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADERY",
"first_name": "SEPIDEH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-11",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.