Active NPI
Caryn Ann Tsur, ARNP
- Family Nurse Practitioner
- Lake Worth, FL
National Provider Identifier
1417439472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9365743
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9365743 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Bodyworx Wellness LLC | Single Specialty | Current | Accepting new patients |
| Complete NP Inc | Single Specialty | Past | Accepting new patients |
| My Bodyworx Chiropractic | Single Specialty | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.