Individual provider Active NPI

Dayana Sandia Alcime, APRN, MSN,FNP-BC

  • Pediatric Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1235699075
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11000778 Issued in FL
Practice address
4400 N State Road 7
Lauderdale Lakes, FL 33319-5862
Phone
(954) 486-8020
Fax
(954) 486-8983
NPI assigned
Mar 20, 2019
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000778 FL
Pediatric Nurse Practitioner 363LP0200X APRN11000778 FL Primary

Addresses

Primary practice location

4400 N State Road 7
Lauderdale Lakes, FL 33319-5862

Mailing address

900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (954) 486-8020

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
I20201110002052 FL Practitioner - Nurse Practitioner 3375953938 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health and Wellness Spa Center LLC CurrentSince Jul 24, 2024 Accepting new patients
Wellness Way Home Health Inc CurrentSince Sep 1, 2024 Accepting new patients
Saltzman, Tanis, Pittel, Levin and Jacobson, LLC PastSince Dec 27, 2020 Accepting new patients

Locations

13385 Memorial Hwy
North Miami, FL 33161
Phone (305) 200-5767

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1235699075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "954-486-8020",
            "fax_number": "954-486-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195862",
            "telephone_number": "954-486-8020",
            "fax_number": "954-486-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCIME",
        "first_name": "DAYANA",
        "middle_name": "SANDIA",
        "name_prefix": "Mrs.",
        "credential": "APRN, MSN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000778",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11000778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.