Individual provider Active NPI

Dinamarie Chiarenza

  • Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1245908680
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11015013 Issued in FL
Practice address
838 SW Federal Hwy
Stuart, FL 34994-2939
Phone
(772) 631-7266
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11015013 FL Primary

Addresses

Primary practice location

838 SW Federal Hwy
Stuart, FL 34994-2939

Mailing address

10640 SW Waterway LN
Port Saint Lucie, FL 34987-1912
Phone (772) 380-2576

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
I20231229003007 FL Practitioner - Nurse Practitioner 6204286495 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound-Well LLCGroup PAC ID 1456705862, 3 clinicians

Practice addresses (Care Compare)

Miami, FL 33186
Phone (305) 916-1965

10640 SW Waterway LN
Port Saint Lucie, FL 34987-1912
Phone (772) 380-2576

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015013FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stars and Stripes Healthcare LLC Nurse Practitioner CurrentSince Apr 15, 2024 Accepting new patients
Primary Care Solutions & More LLC CurrentSince Dec 26, 2023 Accepting new patients
Salas Primary Care LLC CurrentSince May 1, 2024 Accepting new patients
Wound-Well LLC CurrentSince May 1, 2024 Accepting new patients

Locations

2400 E Commercial Blvd
Ste 218
Ft Lauderdale, FL 33308
Phone (305) 334-6163

1701 SE Hillmoor Dr
Ste 7
Port St Lucie, FL 34952
Phone (772) 398-9808

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1245908680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 SW WATERWAY LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349871912",
            "telephone_number": "772-380-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 SW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942939",
            "telephone_number": "772-631-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARENZA",
        "first_name": "DINAMARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11015013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.