Individual provider Active NPI

Cynthia Yvonne Deveaux-Moona, FNP-BC

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1023752185
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019281 Issued in FL
Practice address
1301 N Tamiami TRL
Sarasota, FL 34236-2402
Phone
(941) 366-7667
Fax
(941) 953-5506
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 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 APRN11019281 FL Primary

Addresses

Primary practice location

1301 N Tamiami TRL
Sarasota, FL 34236-2402

Mailing address

1301 N Tamiami TRL
Sarasota, FL 34236-2402
Phone (941) 366-7667

Other practice location 1

1303 N Tamiami Trl
Sarasota, FL 34236-2432
Phone (941) 953-6949

Other names 1

  • Cynthia Yvonne Deveaux Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Cdeveaux@sarasotabayclub.net
CONNECT URL Cdeveaux@sarasotabayclub.net

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
I20230221001214 FL Practitioner - Nurse Practitioner 4688046634 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Er2You LLCGroup PAC ID 4880966548, 7 clinicians

Practice addresses (Care Compare)

1303 N Tamiami TRL
Sarasota, FL 34236-2432
Phone (941) 953-6949

1525 Tamiami TRL S
Suite 603F
Venice, FL 34285-3568
Phone (941) 275-2968

8945 52ND Ave E
Palmetto, FL 34221-8971
Phone (941) 780-1671

Hospital & facility affiliations

  • Haven Home Health Care Home health agency, Venice, FL, CCN 687116
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11019281FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Health Care, Inc. CurrentSince Apr 10, 2023 Accepting new patients
Er2You LLC CurrentSince Jan 6, 2023 Accepting new patients
Cynthia Deveaux-Moona Concierge Nurse Practitioner Services LLC Nurse Practitioner CurrentSince Feb 16, 2024 Accepting new patients
Southwest Florida Mobile Wound Care LLC Family CurrentSince Feb 16, 2024 Accepting new patients

Locations

7051 Cypress Ter
Ste 106
Fort Myers, FL 33907
Phone (239) 270-3973

1303 N Tamiami Trl
Sarasota, FL 34236
Phone (941) 366-7667

1525 Tamiami Trl S
Ste 603F
Venice, FL 34285
Phone (941) 275-2968

Interoperability endpoints

  • Direct secure messaging: cynthia.deveaux-moona.1@17280.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17280/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1023752185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362402",
            "telephone_number": "941-366-7667",
            "fax_number": "941-953-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362402",
            "telephone_number": "941-366-7667",
            "fax_number": "941-953-5506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 N Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342362432",
            "country_code": "US",
            "telephone_number": "941-953-6949",
            "fax_number": "941-953-6867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVEAUX-MOONA",
        "first_name": "CYNTHIA",
        "middle_name": "YVONNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cdeveaux@sarasotabayclub.net",
            "affiliation": "N",
            "address_1": "1301 N Tamiami Trl",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342362402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cdeveaux@sarasotabayclub.net",
            "affiliation": "N",
            "address_1": "1303 N Tamiami Trl",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342362432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "DEVEAUX",
            "middle_name": "YVONNE",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.