Individual provider Active NPI

Diana Dveyrina, FANURSE PRACTITIONER

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1962127381
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11021484 Issued in FL
Practice address
10710 Bexley Blvd
Boca Raton, FL 33428-1213
Phone
(917) 444-6088
NPI assigned
Oct 7, 2022
Last updated
Oct 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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 11021484 FL Primary

Addresses

Primary practice location

10710 Bexley Blvd
Boca Raton, FL 33428-1213

Mailing address

10710 Bexley Blvd
Boca Raton, FL 33428-1213
Phone (917) 444-6088

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
I20240103003586 FL Practitioner - Nurse Practitioner 9234557463 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Care Medical Group of FL, LLCGroup PAC ID 9638598576, 14 clinicians

Practice addresses (Care Compare)

6363 Verde TRL
Boca Raton, FL 33433-7702
Phone (800) 860-3274

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11021484FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dar Group LLC CurrentSince May 4, 2025 Accepting new patients
Progressive Care Medical Group of FL, LLC CurrentSince Apr 1, 2025 Accepting new patients
Accountable Care Post Acute Care Services LLC CurrentSince Mar 23, 2024 Accepting new patients
Healthy Home First Home Health Agency LLC CurrentSince Jun 10, 2019 Accepting new patients

Locations

6363 Verde Trl
Boca Raton, FL 33433
Phone (561) 226-1885

7300 Del Prado Cir S
Boca Raton, FL 33433
Phone (561) 392-3000

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1962127381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 BEXLEY BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281213",
            "telephone_number": "917-444-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 BEXLEY BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281213",
            "telephone_number": "917-444-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVEYRINA",
        "first_name": "DIANA",
        "credential": "FANURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.