Organization Active NPI

DNP-Derm LLC

  • Dermatology Physician
  • Plant City, FL
National Provider Identifier
1710695408
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DNP-DERM LLC
Practice address
2501 Walden Woods Dr # 4087
Plant City, FL 33566-7168
Phone
(813) 330-0106
Fax
(833) 464-3525
NPI assigned
Nov 10, 2022
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Dr. Keischa N Cash, DNPNPI 1235380940
Title
Ceo & Founder
Phone
(315) 882-2967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

2501 Walden Woods Dr # 4087
Plant City, FL 33566-7168

Mailing address

2501 Walden Woods Dr # 4087
Plant City, FL 33566-9998
Phone (813) 330-0106

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1710695408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WALDEN WOODS DR # 4087",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335669998",
            "telephone_number": "813-330-0106",
            "fax_number": "833-464-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WALDEN WOODS DR # 4087",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335667168",
            "telephone_number": "813-330-0106",
            "fax_number": "833-464-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNP-DERM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "CASH",
        "authorized_official_first_name": "KEISCHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO & FOUNDER",
        "authorized_official_telephone_number": "315-882-2967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.