Individual provider Active NPI

Atara Davidson, N.P.

  • Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1427500370
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11009841 Issued in FL
Practice address
9660 Stirling Rd Unit 101
Hollywood, FL 33024-8089
Phone
(516) 784-8164
Fax
(754) 225-9901
NPI assigned
Oct 26, 2016
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11009841 FL Primary
Adult Health Nurse Practitioner 363LA2200X F307856-1 NY
Adult Health Nurse Practitioner 363LA2200X 26NJ01460700 NJ
Adult Health Nurse Practitioner 363LA2200X AC006492 MD

Addresses

Primary practice location

9660 Stirling Rd Unit 101
Hollywood, FL 33024-8089

Mailing address

3520 N 52ND Ave
Hollywood, FL 33021-2332
Phone (516) 784-8164

Other identifiers 1

IdentifierTypeStateIssuer
307856OtherNYLICENSE

Other names 1

  • Atara Rubin Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11009841FLMDNurse Practitioner
AC006492MDMDAdult Health Nurse Practitioner
26NJ01460700NJMDAdult Health Nurse Practitioner
F307856-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ad Health CurrentSince Feb 1, 2021 Accepting new patients
Andrew Yang, MD P.C. Past Accepting new patients

Locations

5810 S University Dr
Ste 113
Davie, FL 33328
Phone (516) 784-8164

Organizations & group practices 2

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1427500370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 N 52ND AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212332",
            "telephone_number": "516-784-8164",
            "fax_number": "754-225-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 STIRLING RD UNIT 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248089",
            "telephone_number": "516-784-8164",
            "fax_number": "754-225-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ATARA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11009841",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307856-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01460700",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "AC006492",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "307856",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATARA",
            "last_name": "RUBIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.