Individual provider Active NPI

Osiris Izchell Ahuatzin, FNP-C

  • Family Nurse Practitioner
  • Royal Palm Beach, FL
National Provider Identifier
1033582895
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9347533 Issued in FL
Practice address
3026 Rockville LN
Royal Palm Beach, FL 33411-8299
Phone
(561) 676-6079
NPI assigned
Nov 2, 2015
Last updated
Apr 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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 ARNP9347533 FL Primary

Addresses

Primary practice location

3026 Rockville LN
Royal Palm Beach, FL 33411-8299

Mailing address

5162 Linton Blvd
Ste 106
Delray Beach, FL 33484-6567
Phone (561) 498-4010

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
I20160513001442 FL Practitioner - Nurse Practitioner 6800185885 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC CurrentSince Jul 7, 2025 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Apr 11, 2016 Accepting new patients
Tenet Florida Physician Services II, LLC CurrentSince Jul 7, 2025 Accepting new patients
Tenet Florida Physician Services II, LLC Family Current Accepting new patients

Locations

5162 Linton Blvd
Ste 106
Delray Beach, FL 33484
Phone (561) 336-0110

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

5325 Greenwood Ave
Ste 301
West Palm Beach, FL 33407
Phone (561) 273-4333

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": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1033582895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5162 LINTON BLVD",
            "address_2": "STE 106",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846567",
            "telephone_number": "561-498-4010",
            "fax_number": "561-498-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 ROCKVILLE LN",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118299",
            "telephone_number": "561-676-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUATZIN",
        "first_name": "OSIRIS",
        "middle_name": "IZCHELL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9347533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.