Individual provider Active NPI

Benazir Tamara Medina, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1598595233
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033312 Issued in FL
Practice address
3501 West Dr Ste B
Deerfield Beach, FL 33442-2000
Phone
(954) 426-1000
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 11033312 FL Primary

Addresses

Primary practice location

3501 West Dr Ste B
Deerfield Beach, FL 33442-2000

Mailing address

11349 SW 14TH St
Pembroke Pines, FL 33025-4820
Phone (786) 315-3851

Other practice location 1

1500 E Hillsboro Blvd Ste 201
Deerfield Beach, FL 33441-4348
Phone (954) 637-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404002590 FL Practitioner - Nurse Practitioner 8022532688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unimed Health Care LLCGroup PAC ID 7517240161, 5 clinicians

Practice addresses (Care Compare)

3501 W Dr
Suite B
Deerfield Beach, FL 33442-2000
Phone (954) 426-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11033312FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unimed Health Care LLC Family Medicine CurrentSince Feb 25, 2025 Accepting new patients
Broward Medical Specialist Inc PastSince Mar 11, 2025 Accepting new patients

Locations

3501 West Dr
Ste B
Deerfield Beach, FL 33442
Phone (954) 251-6051

1500 E Hillsboro Blvd
Ste 201
Deerfield Beach, FL 33441
Phone (954) 421-8666

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: benazir.medina.1@31897.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1598595233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11349 SW 14TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254820",
            "telephone_number": "786-315-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 WEST DR STE B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334422000",
            "telephone_number": "954-426-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Hillsboro Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334414348",
            "country_code": "US",
            "telephone_number": "954-637-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "BENAZIR",
        "middle_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.