Individual provider Active NPI

Mary Gopeesingh

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1023505526
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3135352 Issued in FL
Practice address
5968 Western Way
Lake Worth, FL 33463-7636
Phone
(561) 307-7689
NPI assigned
Apr 19, 2018
Last updated
Apr 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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 ARNP3135352 FL Primary

Addresses

Primary practice location

5968 Western Way
Lake Worth, FL 33463-7636

Mailing address

5968 Western Way
Lake Worth, FL 33463-7636
Phone (561) 307-7689

Other practice location 1

1901 S Congress Ave
Boynton Beach, FL 33426-6556
Phone (561) 364-1479

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
I20210730002084 FL Practitioner - Nurse Practitioner 0244663300 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3135352FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Oaks Landing LLC CurrentSince Nov 9, 2025 Accepting new patients
Transitions Healthcare LLC CurrentSince Jan 24, 2024 Accepting new patients
Wound Technology Network Inc CurrentSince Jun 12, 2023 Accepting new patients
Vitas Healthcare Corporation of Florida Past Accepting new patients

Locations

15500 Roosevelt Blvd
Ste 101
Clearwater, FL 33760
Phone (727) 214-4622

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1023505526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5968 WESTERN WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637636",
            "telephone_number": "561-307-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5968 WESTERN WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637636",
            "telephone_number": "561-307-7689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 S Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334266556",
            "country_code": "US",
            "telephone_number": "561-364-1479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPEESINGH",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3135352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.