Individual provider Active NPI

Cindy Lynn Keshavarz, AGNP

  • Adult Health Nurse Practitioner
  • Deltona, FL
National Provider Identifier
1346904729
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11015754 Issued in FL
Practice address
2576 Gramercy Dr
Deltona, FL 32738-1940
Phone
(407) 969-5090
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11015754 FL Primary

Addresses

Primary practice location

2576 Gramercy Dr
Deltona, FL 32738-1940

Mailing address

2576 Gramercy Dr
Deltona, FL 32738-1940
Phone (407) 969-5090

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
I20220103000636 FL Practitioner - Nurse Practitioner 3577954403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Heart Family Nurse Practitioner PLLCGroup PAC ID 2860809522, 4 clinicians

Practice addresses (Care Compare)

21 Old Kings Rd N
Unit 108
Palm Coast, FL 32137-8254
Phone (407) 550-7077

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Heart Family Nurse Practitioner PLLC CurrentSince Oct 23, 2025 Accepting new patients
Alive and Well Healthcare LLC CurrentSince Nov 7, 2025 Accepting new patients

Locations

21 Old Kings Rd N
Unit 108
Palm Coast, FL 32137
Phone (386) 627-4553

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": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1346904729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2576 GRAMERCY DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327381940",
            "telephone_number": "407-969-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2576 GRAMERCY DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327381940",
            "telephone_number": "407-969-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHAVARZ",
        "first_name": "CINDY",
        "middle_name": "LYNN",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11015754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.