Individual provider Active NPI

Timekia Vonsha Thompson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Weston, FL
National Provider Identifier
1326683558
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11004857 Issued in FL
Practice address
1751 Bonaventure Blvd
Weston, FL 33326-4039
Phone
(954) 656-3181
Fax
(954) 656-3188
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11004857 FL
Family Nurse Practitioner 363LF0000X 95029760 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95029760 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11004857 FL Primary

Addresses

Primary practice location

1751 Bonaventure Blvd
Weston, FL 33326-4039

Mailing address

1751 Bonaventure Blvd
Weston, FL 33326-4039
Phone (546) 563-1819

Other practice location 1

725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (941) 776-4000

Other practice location 2

4181 SW High Meadows Ave
Palm City, FL 34990-3725
Phone (772) 221-7620

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
I20210514000722 FL Practitioner - Nurse Practitioner 4284043621 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95029760CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Family CurrentSince Oct 3, 2024 Accepting new patients
University of Miami Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Feb 7, 2025 Accepting new patients
University of Miami CurrentSince Oct 1, 2022 Accepting new patients
New Horizons of the Treasure Coast Inc CurrentSince Dec 30, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Oct 3, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Balanced Wellbeing LLC CurrentSince Sep 16, 2024 Accepting new patients
University of Miami CurrentSince Oct 1, 2022 Accepting new patients
Center for Alcohol and Drug Studies, LLC. Past Accepting new patients

Locations

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

4500 W Midway Rd
Fort Pierce, FL 34981
Phone (561) 468-5600

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

1751 Bonaventure Blvd
Weston, FL 33326
Phone (954) 385-0014

Interoperability endpoints

  • Direct secure messaging: tmiller116634@direct.med.miami.edu

Organizations & group practices 10

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": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1326683558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 BONAVENTURE BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333264039",
            "telephone_number": "546-563-1819",
            "fax_number": "954-656-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 BONAVENTURE BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333264039",
            "telephone_number": "954-656-3181",
            "fax_number": "954-656-3188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "941-776-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4181 SW High Meadows Ave",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349903725",
            "country_code": "US",
            "telephone_number": "772-221-7620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TIMEKIA",
        "middle_name": "VONSHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004857",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029760",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95029760",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11004857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.