Individual provider Active NPI

Lyubomir Evgeniev Chinkov, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1144005356
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11025842 Issued in FL
Practice address
402 SE 6TH Ave
Delray Beach, FL 33483-5231
Phone
(561) 359-1934
NPI assigned
Aug 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11025842 FL Primary

Addresses

Primary practice location

402 SE 6TH Ave
Delray Beach, FL 33483-5231

Mailing address

3333 S Congress Ave Ste 400
Delray Beach, FL 33445-7346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130002172 FL Practitioner - Nurse Practitioner 9931557956 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11025842FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bishop Health Florida, LLC CurrentSince Oct 1, 2023 Accepting new patients
Whole-Health, LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

402 SE 6th Ave
Delray Beach, FL 33483
Phone (561) 265-1990

Organizations & group practices 2

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1144005356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S CONGRESS AVE STE 400",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SE 6TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835231",
            "telephone_number": "561-359-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINKOV",
        "first_name": "LYUBOMIR",
        "middle_name": "EVGENIEV",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11025842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.