Individual provider Active NPI

Tatsiana Harai, ARNP

  • Family Nurse Practitioner
  • Davie, FL
National Provider Identifier
1871040709
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9299373 Issued in FL
Practice address
4610 S University Dr
Davie, FL 33328-3818
Phone
(544) 342-0029
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 ARNP9299373 FL Primary

Addresses

Primary practice location

4610 S University Dr
Davie, FL 33328-3818

Mailing address

2810 N 46TH Ave Apt F355
Hollywood, FL 33021-2990

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
I20161115000364 FL Practitioner - Nurse Practitioner 8820377880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

7800 SW 104TH St
Miami, FL 33156-2631
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9299373FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care PLLC Family CurrentSince Nov 5, 2024 Accepting new patients
Minuteclinic Primary Care Florida LLC Family CurrentSince Oct 10, 2025 Accepting new patients
Minuteclinic LLC Family CurrentSince Sep 19, 2016 Accepting new patients

Locations

4610 S University Dr
Davie, FL 33328
Phone (954) 434-2002

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

8740 SW 40th St
Miami, FL 33165
Phone (305) 221-8337

312 Lincoln Rd
Miami Beach, FL 33139
Phone (305) 531-7311

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7800 SW 104th St
Pinecrest, FL 33156
Phone (305) 270-0199

10241 W Broward Blvd
Plantation, FL 33324
Phone 9542360769 ext. 8221

1501 S Federal Hwy
Pompano Beach, FL 33062
Phone (954) 788-0739

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1871040709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N 46TH AVE APT F355",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283818",
            "telephone_number": "544-342-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARAI",
        "first_name": "TATSIANA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9299373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.