Active NPI
Atara Davidson, N.P.
- Nurse Practitioner
- Hollywood, FL
National Provider Identifier
1427500370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11009841
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307856 | Other | NY | LICENSE |
Other names 1
- Atara Rubin
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11009841 | FL | MD | Nurse Practitioner |
| AC006492 | MD | MD | Adult Health Nurse Practitioner |
| 26NJ01460700 | NJ | MD | Adult Health Nurse Practitioner |
| F307856-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ad Health | Current | 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.
-
- Primary Care Clinic/Center
- Davie, FL
- NPI 1033706734
-
- Orthopaedic Surgery Physician
- Bayside, NY
- NPI 1619706082
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.