Individual provider Active NPI

Shellyann Timmons, ARNP-BC

  • Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1043713530
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9325981 Issued in FL
Practice address
8756 Boynton Beach Blvd Ste 2500
Boynton Beach, FL 33472-4470
Phone
(561) 737-0030
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9325981 FL Primary

Addresses

Primary practice location

8756 Boynton Beach Blvd Ste 2500
Boynton Beach, FL 33472-4470

Mailing address

6736 Lurais Dr
Lake Worth, FL 33463-7482

Other practice location 1

5210 Linton Blvd Ste 105
Delray Beach, FL 33484-6537
Phone (561) 496-1160

Other practice location 2

901 Village Blvd Ste 702
West Palm Beach, FL 33409-1947
Phone (561) 882-6216

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
I20180606002731 FL Practitioner - Nurse Practitioner 7618232919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tenet Florida Physician Services LLCGroup PAC ID 0345349478, 239 clinicians

Practice addresses (Care Compare)

8756 Boynton Beach Blvd
Suite 2300
Boynton Beach, FL 33472-4439
Phone (561) 737-0030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9325981FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC CurrentSince Jun 13, 2019 Accepting new patients
Accountable Care Hospitalist Group CurrentSince Jun 1, 2024 Accepting new patients
Kidney & Hypertension Specialists PA CurrentSince Mar 26, 2018 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jun 13, 2019 Accepting new patients

Locations

8756 Boynton Beach Blvd
Ste 2300
Boynton Beach, FL 33472
Phone (561) 496-1160

8756 Boynton Beach Blvd
Ste 2500
Boynton Beach, FL 33472
Phone (561) 499-7551

5210 Linton Blvd
Ste 105
Delray Beach, FL 33484
Phone (561) 496-1160

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

901 Village Blvd
Ste 702
West Palm Beach, FL 33409
Phone (561) 437-0589

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

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HECEAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1043713530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6736 LURAIS DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8756 BOYNTON BEACH BLVD STE 2500",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724470",
            "telephone_number": "561-737-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5210 Linton Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846537",
            "country_code": "US",
            "telephone_number": "561-496-1160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Village Blvd Ste 702",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334091947",
            "country_code": "US",
            "telephone_number": "561-882-6216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMMONS",
        "first_name": "SHELLYANN",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9325981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.