Nikki Rae Dortch

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

APRN11009680 Issued in FL

Practice address

3030 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6308

Phone

(813) 872-2929

NPI assigned

Mar 31, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1528520558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7026 SUMMER HOLLY PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784952",
            "telephone_number": "813-468-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076308",
            "telephone_number": "813-872-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORTCH",
        "first_name": "NIKKI",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9417152",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "FL",
            "license": "APRN11009680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarryn C Dorosz, BA
• Lee Dorpfeld, PSY.D.
• Hazel Barbara Dorsey, MS, ARNP, AGNP-C
• Yanet Dorta Hernandez
• Mary A Dorta
• Sherley Dorvil
• Adler Dorvilus
• Natalie Dos Santos, RCSWI
• Steven Arthur Dosal Jr., M.D.
• Sarah Marie Dosanjh, APRN, NNP-BC

• Critical Care Neonatal Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Critical Care Neonatal Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.