Active NPI
Diego Prentice-Webb, MD
- Student in an Organized Health Care Education/Training Program
- Hollywood, FL
National Provider Identifier
1952047037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3501 Johnson St
Hollywood, FL 33021-5421 - Phone
- (954) 987-2000
- NPI assigned
- May 11, 2022
- Last updated
- Mar 23, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3501 Johnson St
Hollywood, FL 33021-5421
Mailing address
673 NE 3Rd Ave Apt 627
Fort Lauderdale, FL 33304-2760
Phone (774) 823-0687
Other practice location 1
7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone (954) 962-9650
Other practice location 2
1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 355-1122
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220621003316 | FL | Order and Referring Only - Psychiatry | 7315326360 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1952047037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 NE 3RD AVE APT 627",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333042760",
"telephone_number": "774-823-0687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215421",
"telephone_number": "954-987-2000"
}
],
"practiceLocations": [
{
"address_1": "7800 Sheridan St",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330242536",
"country_code": "US",
"telephone_number": "954-962-9650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1611 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "305-355-1122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRENTICE-WEBB",
"first_name": "DIEGO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-11",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
- Premier Mobile Health Solutions, LLC
- Premier Pain and Wellness, LLC
- Premier Total Healthcare Inc
- Premiere Healthcare Management (Baypointe Terrace)
- Premium Health, Corp.
- Prescription Care Pharmacy
- Prescription Care Pharmacy
- Lashonda Pressley
- Prestige Home Care Services of Broward, Inc
- Margaret Previlon, MHS, OTR/L, CLT-LANA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.