Organization Active NPI

Dykal Health Management Consultants, LLC

Doing business as Dykal Health and Wellness

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1891408365
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DYKAL HEALTH MANAGEMENT CONSULTANTS, LLC
Doing business as
Dykal Health and Wellness
Practice address
2425 E Commercial Blvd Ste 202
Ft Lauderdale, FL 33308-4062
Phone
(954) 408-0125
NPI assigned
Dec 29, 2022
Last updated
Dec 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Dr. Renee Patricia Gooden-Clarke, APRN, DNPNPI 1447814397
Title
Co-Owner/Vice President
Phone
(954) 684-8972

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2425 E Commercial Blvd Ste 202
Ft Lauderdale, FL 33308-4062

Mailing address

2425 E Commercial Blvd Ste 202
Ft Lauderdale, FL 33308-4062

Other names 1

  • Dykal Health and Wellness Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2272496Dykal Health Management Consultants LLC2425 E Commercial Blvd, Ste 202, Fort Lauderdale, FL 33308Certificate of waiverNov 21, 2026

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": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1891408365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 E COMMERCIAL BLVD STE 202",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E COMMERCIAL BLVD STE 202",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084062",
            "telephone_number": "954-408-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYKAL HEALTH MANAGEMENT CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "GOODEN-CLARKE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CO-OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "954-684-8972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN, DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dykal Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.