Individual provider Active NPI

Dahlia Khanns, NP

  • Family Nurse Practitioner
  • Pompano Beach, FL
National Provider Identifier
1326573270
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009626 Issued in FL
Practice address
1611 S Federal Hwy
Pompano Beach, FL 33062-7514
Phone
(954) 580-4001
NPI assigned
Apr 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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 F340856-1 NY
Family Nurse Practitioner 363LF0000X APRN11009626 FL Primary

Addresses

Primary practice location

1611 S Federal Hwy
Pompano Beach, FL 33062-7514

Mailing address

1611 S Federal Hwy
Pompano Beach, FL 33062-7514
Phone (954) 580-4100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkhanns46304@direct.garnethealth.org Garnet Health Urgent Care P C

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
I20211006001112 FL Practitioner - Nurse Practitioner 7416225537 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solantic/South Florida LLCGroup PAC ID 5496762171, 27 clinicians
Swallowing Diagnostics IncGroup PAC ID 0244261683, 10 clinicians

Practice addresses (Care Compare)

1611 S Federal Hwy
Pompano Beach, FL 33062-7514
Phone (954) 580-4001

6093 NW 62ND Ter
Parkland, FL 33067-1538
Phone (954) 578-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F340856-1NYMDFamily Nurse Practitioner
340856NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solantic/South Florida, LLC CurrentSince Aug 23, 2021 Accepting new patients
Swallowing Diagnostics Inc CurrentSince Sep 1, 2022 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Aug 23, 2021 Accepting new patients
West Boynton Urgent Care, LLC CurrentSince Aug 23, 2021 Accepting new patients

Locations

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

1205 N University Dr
Coral Springs, FL 33071
Phone (954) 780-8134

18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1611 S Federal Hwy
Pompano Beach, FL 33062
Phone (954) 580-4001

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

Interoperability endpoints

  • Direct secure messaging: dkhanns46304@direct.garnethealth.org

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, 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": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1326573270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627514",
            "telephone_number": "954-580-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627514",
            "telephone_number": "954-580-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNS",
        "first_name": "DAHLIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340856-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkhanns46304@direct.garnethealth.org",
            "affiliation": "Y",
            "affiliationName": "Garnet Health Urgent Care P C",
            "address_1": "38 Concord Rd",
            "city": "Monticello",
            "state": "NY",
            "country_code": "US",
            "postal_code": "127013210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.