Individual provider Active NPI

Tamara Lynette Sukie, ARNP

  • Family Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1346632734
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9236010 Issued in FL
Practice address
3646 Newport Ave
Boynton Beach, FL 33436-8525
Phone
(305) 494-6106
NPI assigned
Feb 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 ARNP9236010 FL Primary

Addresses

Primary practice location

3646 Newport Ave
Boynton Beach, FL 33436-8525

Mailing address

3646 Newport Ave
Boynton Beach, FL 33436-8525
Phone (305) 494-6106

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
I20150625000807 FL Practitioner - Nurse Practitioner 7012228414 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9236010FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jata Care Current Accepting new patients
Grow Healthcare Group PA CurrentSince Jun 19, 2024 Accepting new patients

Locations

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

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": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1346632734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646 NEWPORT AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334368525",
            "telephone_number": "305-494-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3646 NEWPORT AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334368525",
            "telephone_number": "305-494-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKIE",
        "first_name": "TAMARA",
        "middle_name": "LYNETTE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9236010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.