Individual provider Active NPI

Dena Marie Dahlquist, ARNP-C

  • Family Nurse Practitioner
  • Holmes Beach, FL
National Provider Identifier
1316257017
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3175322 Issued in FL
Practice address
3909 E Bay Dr
Ste 100
Holmes Beach, FL 34217-1997
Phone
(941) 778-1007
Fax
(941) 778-9256
NPI assigned
Oct 15, 2010
Last updated
Jul 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP3175322 FL Primary

Addresses

Primary practice location

3909 E Bay Dr
Ste 100
Holmes Beach, FL 34217-1997

Mailing address

7100 Gulf Dr
Apt 101
Holmes Beach, FL 34217-1175
Phone (941) 773-7617

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
I20101215001001 FL Practitioner - Nurse Practitioner 5092903187 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3175322FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physician Network, LLC Past Accepting new patients

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, 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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1316257017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 GULF DR",
            "address_2": "APT 101",
            "city": "HOLMES BEACH",
            "state": "FL",
            "postal_code": "342171175",
            "telephone_number": "941-773-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 E BAY DR",
            "address_2": "STE 100",
            "city": "HOLMES BEACH",
            "state": "FL",
            "postal_code": "342171997",
            "telephone_number": "941-778-1007",
            "fax_number": "941-778-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLQUIST",
        "first_name": "DENA",
        "middle_name": "MARIE",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3175322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmes Beach, FL

Sources for this page

Verify at the official NPI Registry.