Individual provider Active NPI

Saumya Dayal, ARNP

  • Adult Health Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1831636471
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9210309 Issued in FL
Practice address
8135 Lagos de Campo Blvd
Tamarac, FL 33321-3859
Phone
(954) 825-6596
NPI assigned
Jan 20, 2017
Last updated
Sep 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 9210309 FL
Adult Health Nurse Practitioner 363LA2200X 9210309 FL Primary
Critical Care Medicine Nurse Practitioner 363LC0200X 9210309 FL
Gerontology Nurse Practitioner 363LG0600X 9210309 FL

Addresses

Primary practice location

8135 Lagos de Campo Blvd
Tamarac, FL 33321-3859

Mailing address

8135 Lagos de Campo Blvd
Tamarac, FL 33321-3859
Phone (954) 825-6596

Other practice location 1

8201 west broward blvd
plantation, FL 33324-3859
Phone (954) 476-3910

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
I20170327000756 FL Practitioner - Nurse Practitioner 1557646999 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9210309FLMDAcute Care Nurse Practitioner

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, 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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1831636471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 LAGOS DE CAMPO BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213859",
            "telephone_number": "954-825-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 LAGOS DE CAMPO BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213859",
            "telephone_number": "954-825-6596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 west broward blvd",
            "address_purpose": "LOCATION",
            "city": "plantation",
            "state": "FL",
            "postal_code": "333243859",
            "country_code": "US",
            "telephone_number": "954-476-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAYAL",
        "first_name": "SAUMYA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "9210309",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9210309",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "9210309",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9210309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.