Individual provider Active NPI

Tanisha Del Carmen Dawkins, APRN

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1790380301
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010010 Issued in FL
Practice address
14601 SW 29TH St Ste 209
Miramar, FL 33027-4715
Phone
(954) 436-8036
Fax
(954) 217-4006
NPI assigned
Dec 1, 2020
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 11010010 FL Primary

Addresses

Primary practice location

14601 SW 29TH St Ste 209
Miramar, FL 33027-4715

Mailing address

14601 SW 29TH St Ste 209
Miramar, FL 33027-4715
Phone (954) 436-8036

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

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
I20240910002052 FL Practitioner - Nurse Practitioner 5395285977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yaneth Trujillo MD.PAGroup PAC ID 1951449784, 5 clinicians

Practice addresses (Care Compare)

14601 SW 29TH St
Suite 209
Miramar, FL 33027-4715
Phone (954) 436-8036

2825 N University Dr
Suite 410
Coral Springs, FL 33065-5020
Phone (954) 436-8036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010010FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yaneth Trujillo MD.PA Single Specialty CurrentSince Jun 28, 2024 Accepting new patients
Darloz Professional Services, LLC PastSince Dec 1, 2020 Accepting new patients
Rheumatology Medical Center LLC Single Specialty PastSince Feb 4, 2021 Accepting new patients
Sky Lab Diagnostic Center LLC PastSince Jul 23, 2023 Accepting new patients

Locations

2825 N University Dr
Ste 410
Coral Springs, FL 33065
Phone (754) 212-4864

14601 SW 29th St
Ste 209
Miramar, FL 33027
Phone (954) 436-8036

1290 Weston Rd
Ste 203
Weston, FL 33326
Phone (954) 349-2777

2300 N Commerce Pkwy
Ste 301
Weston, FL 33326
Phone (954) 314-7768

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1790380301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 209",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274715",
            "telephone_number": "954-436-8036",
            "fax_number": "954-217-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 209",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274715",
            "telephone_number": "954-436-8036",
            "fax_number": "954-217-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "TANISHA",
        "middle_name": "DEL CARMEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.