IndividualActive
Shantar Nicholas
NPI 1649094665 · Specialist · Tamarac, FL
Shantar Nicholas is a Specialist provider in Tamarac, FL (NPI 1649094665).
Provider details
- NPI number
- 1649094665
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6412 N University Dr Ste 117
Tamarac, FL 33321-4002
Phone: (954) 991-9359
Street-level locationGet directions
Mailing address
5770 Nw 60th Ave Apt E103
Tamarac, FL 33319-2446
Registry dates
- Enumerated
- 2024-11-15
- Last updated
- 2024-11-15
- Certified
- 2024-11-15
Frequently asked questions
- What is Shantar Nicholas's NPI number?
- Shantar Nicholas's National Provider Identifier (NPI) is 1649094665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shantar Nicholas's specialty?
- Shantar Nicholas is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Shantar Nicholas located?
- Shantar Nicholas's practice location on file with NPPES is 6412 N University Dr Ste 117, Tamarac, FL 33321-4002.
- What is Shantar Nicholas's phone number?
- The practice phone number listed in the NPPES registry for Shantar Nicholas is (954) 991-9359.
- Is Shantar Nicholas's NPI active?
- Yes — Shantar Nicholas's NPI (1649094665) is active in the NPPES registry as of the last update on 2024-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.