Individual provider Active NPI

Luz Schelmety-Henriquez, ARNP, BC

  • Family Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1164479564
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3333482 Issued in FL
Practice address
1255 SW Curry St
Port St Lucie, FL 34983-2509
Phone
(772) 418-4036
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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 3333482 FL Primary

Addresses

Primary practice location

1255 SW Curry St
Port St Lucie, FL 34983-2509

Mailing address

1255 SW Curry St
Port St Lucie, FL 34983-2509
Phone (772) 418-4036

Other identifiers 1

IdentifierTypeStateIssuer
306428000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3333482FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Healthcare Associates,LLC Family CurrentSince Feb 28, 2017 Accepting new patients

Organizations & group practices 1

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1164479564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 SW CURRY ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832509",
            "telephone_number": "772-418-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 SW CURRY ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832509",
            "telephone_number": "772-418-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELMETY-HENRIQUEZ",
        "first_name": "LUZ",
        "name_prefix": "Ms.",
        "credential": "ARNP, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3333482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306428000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.