Individual provider Active NPI

Svetlana Dial, ARNP

  • Family Nurse Practitioner
  • Weeki Wachee, FL
National Provider Identifier
1346723129
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9378860 Issued in FL
Practice address
18056 Macy Rd
Weeki Wachee, FL 34614-2227
Phone
(352) 613-4416
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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 9378860 FL Primary
Registered Nurse 163W00000X 9378860 FL

Addresses

Primary practice location

18056 Macy Rd
Weeki Wachee, FL 34614-2227

Mailing address

18056 Macy Rd
Weeki Wachee, FL 34614-2227

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
I20201203000931 FL Practitioner - Nurse Practitioner 8224449806 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9378860FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nature Coast Geriatric Services LLC CurrentSince Nov 1, 2020 Accepting new patients
West Florida Medical Associates, PA CurrentSince Nov 1, 2020 Accepting new patients
Tampa General Hospital Current Accepting new patients
West Florida Medical Associates P a Registered Nurse CurrentSince Nov 1, 2020 Accepting new patients

Locations

3404 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465
Phone (352) 746-1558

3400 N Lecanto Hwy
#A
Beverly Hills, FL 34465
Phone (352) 746-2227

3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: sdial296658@direct.tgh.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1346723129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18056 MACY RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346142227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18056 MACY RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346142227",
            "telephone_number": "352-613-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAL",
        "first_name": "SVETLANA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9378860",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9378860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

Verify at the official NPI Registry.