Individual provider Active NPI

Dieula Exantus, ARNP

  • Family Nurse Practitioner
  • Lauderhill, FL
National Provider Identifier
1396245288
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9273076 Issued in FL
Practice address
4486 N University Dr
Lauderhill, FL 33351-4513
Phone
(954) 710-8767
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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 9273076 FL Primary

Addresses

Primary practice location

4486 N University Dr
Lauderhill, FL 33351-4513

Mailing address

7050 Taft St
Hollywood, FL 33024-3804

Other practice location 1

7050 Taft St
Hollywood, FL 33024-3804
Phone (954) 945-9610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9273076FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aa & D Lubaton, LLC Dba Gaia Holostic Primary Care Family CurrentSince Jul 7, 2020 Accepting new patients

Locations

430 State Road 436
Ste 224
Casselberry, FL 32707
Phone (786) 449-5448

Organizations & group practices 1

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1396245288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4486 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333514513",
            "telephone_number": "954-710-8767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7050 Taft St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330243804",
            "country_code": "US",
            "telephone_number": "954-945-9610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EXANTUS",
        "first_name": "DIEULA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9273076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.