Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649094665 Individual Practitioner Female Practitioner

Shantar Ornella Nicholas

Specialist • Tamarac, FL

Professional Overview & Biography Verified Profile Summary

Shantar Nicholas is a registered healthcare professional specializing in Specialist in Tamarac, FL. Practice services are available at 6412 N UNIVERSITY DR STE 117 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6412 N University Dr Ste 117

Tamarac, FL 333214002

Telephone 9549919359

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tamarac, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Tamarac, FL (3036 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-15
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 15, 2024

NPI status registered as active in NPPES database

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Updated Practice Location November 15, 2024

Registered at 6412 N UNIVERSITY DR STE 117, TAMARAC, FL 333214002 (Tel: 9549919359)

📍
Updated Business Mailing Address November 15, 2024

Registered at 5770 NW 60TH AVE APT E103, TAMARAC, FL 333192446 (Tel: 9549019359)

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Provider Name / Credentials Updated November 15, 2024

Recorded as SHANTAR NICHOLAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2024

Specialist

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Initial NPI Registration & Enumeration November 15, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649094665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2024
Last Update: November 15, 2024
Sole Proprietor: Yes

Mailing Address

5770 Nw 60th Ave Apt E103

Tamarac, FL 333192446

Phone: 9549019359

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.