Individual provider Active NPI

Safiya G Dalmida, RN

  • Primary Care Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1417986704
Registry record updated Jul 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11002512 Issued in FL
Practice address
1650 Osceola Dr
West Palm Beach, FL 33409-5038
Phone
(561) 803-8880
Fax
(877) 409-1795
NPI assigned
Jul 1, 2006
Last updated
Jul 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11002512 FL
Primary Care Nurse Practitioner 363LP2300X 149930 GA
Primary Care Nurse Practitioner 363LP2300X 1-151531 AL
Primary Care Nurse Practitioner 363LP2300X APRN11002512 FL Primary
Registered Nurse 163W00000X RN9510342 FL

Addresses

Primary practice location

1650 Osceola Dr
West Palm Beach, FL 33409-5038

Mailing address

1650 Osceola Dr
West Palm Beach, FL 33409-5038
Phone (561) 803-8888

Other practice location 1

1324 Highway 138 SW
Riverdale, GA 30296-1404
Phone (770) 907-4949

Other practice location 2

2720 6th St
Tuscaloosa, AL 35401-1731
Phone (205) 759-8470

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9510342FLMDRegistered Nurse
1-151531ALMDPrimary Care Nurse Practitioner
APRN11002512FLMDPrimary Care Nurse Practitioner
149930GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caedel Medical Group PastSince Nov 1, 2007 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIHDBA

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, 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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656806400000",
    "number": "1417986704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 OSCEOLA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095038",
            "telephone_number": "561-803-8888",
            "fax_number": "561-803-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 OSCEOLA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095038",
            "telephone_number": "561-803-8880",
            "fax_number": "877-409-1795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1324 Highway 138 SW",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302961404",
            "country_code": "US",
            "telephone_number": "770-907-4949",
            "fax_number": "770-907-4022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 6th St",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354011731",
            "country_code": "US",
            "telephone_number": "205-759-8470",
            "fax_number": "205-366-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALMIDA",
        "first_name": "SAFIYA",
        "middle_name": "G",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11002512",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "149930",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-151531",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11002512",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9510342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; 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.