Active NPI
Amanda Dhanani
- Nurse's Aide
- Deltona, FL
National Provider Identifier
1699299248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 264174
- Practice address
- 1490 Tivoli Dr
Deltona, FL 32725-4720 - Phone
- (407) 362-8403
- NPI assigned
- Jul 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 264174 | FL | Primary |
Addresses
Primary practice location
1490 Tivoli Dr
Deltona, FL 32725-4720
Mailing address
1490 Tivoli Dr
Deltona, FL 32725-4720
Phone (407) 362-8403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D550017808340 | Other | FL | DRIVER LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264174 | FL | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1699299248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 TIVOLI DR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327254720",
"telephone_number": "407-362-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 TIVOLI DR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327254720",
"telephone_number": "407-362-8403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHANANI",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "264174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "D550017808340",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.