Individual provider Active NPI

Caryn Ann Tsur, ARNP

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1417439472
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9365743 Issued in FL
Practice address
6115 C Durham Dr
Lake Worth, FL 33467-8714
Phone
(561) 306-1796
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 9365743 FL Primary

Addresses

Primary practice location

6115 C Durham Dr
Lake Worth, FL 33467-8714

Mailing address

6115 C Durham Dr
Lake Worth, FL 33467-8714
Phone (561) 306-1796

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
I20190501002941 FL Practitioner - Nurse Practitioner 9537401161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Bodyworx Wellness LLCGroup PAC ID 6305238296, 2 clinicians

Practice addresses (Care Compare)

14560 S Military TRL
Suite B4
Delray Beach, FL 33484-3794
Phone (561) 926-9494

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9365743FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Bodyworx Wellness LLC Single Specialty CurrentSince Sep 21, 2024 Accepting new patients
Complete NP Inc Single Specialty PastSince May 19, 2024 Accepting new patients
My Bodyworx Chiropractic Single Specialty PastSince Nov 10, 2024 Accepting new patients

Locations

14560 S Military Trl
Ste B4
Delray Beach, FL 33484
Phone (512) 893-5515

Organizations & group practices 3

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1417439472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 C DURHAM DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678714",
            "telephone_number": "561-306-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 C DURHAM DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678714",
            "telephone_number": "561-306-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUR",
        "first_name": "CARYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9365743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.