Dahl Medical LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

DAHL MEDICAL LLC

Practice address

499 Evernia St Apt 620
West Palm BCH, FL 33401-5467

Phone

(646) 831-8415

NPI assigned

Jun 11, 2024

Last updated

Jun 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harrison Dahl, APRNNPI 1578150173

Title

Owner

Phone

(646) 831-8415

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harrison Dahl, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1578150173

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Jonathan Evan Marcus, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Boca Raton, FL
  • NPI 1619002888
  Medicare reassignment NPD
• Mechele Lee Smith, ARNP

  • Nurse Practitioner
  • Stuart, FL
  • NPI 1184676405
  Medicare reassignment NPD
• Katherine A Bobotis, P.A.

  • Physician Assistant
  • Lauderdale Lakes, FL
  • NPI 1144439431
  NPD (past)

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1386486108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 EVERNIA ST APT 620",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334015467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 EVERNIA ST APT 620",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334015467",
            "telephone_number": "646-831-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAHL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "HARRISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-831-8415",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria I Capote, RRT
• Paola Carlos
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• Garrett P Cooper, LMHC
• Cruz Azul of WPB
• Nolan Dimaria
• Olivia Kaelee Dupre, PT, DPT
• Family Care Nurses Reg LLC
• Rosemarie Ferrante, MSW, BSN, RN
• Susana Fortes

• Gerontology Nurse Practitioner in West Palm BCH, FL
• Providers in West Palm BCH, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.