Individual provider Active NPI

Sarina Tsien Chun Ken, APRN

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1467050393
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009483 Issued in FL
Practice address
1102 Centerstone Lane
West Palm Beach, FL 33404
Phone
(561) 310-0809
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X ARNP11009483 FL
Family Nurse Practitioner 363LF0000X 11009483 FL Primary

Addresses

Primary practice location

1102 Centerstone Lane
West Palm Beach, FL 33404

Mailing address

1102 Centerstone Lane
West Palm Beach, FL 33404
Phone (561) 310-0809

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
I20210730000502 FL Practitioner - Nurse Practitioner 6002219821 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP11009483FLMDNurse Practitioner
11009483FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Critical Care and Sleep Single Specialty CurrentSince Jun 24, 2021 Accepting new patients
Palm Beach Acute Care Consultants, LLC Single Specialty CurrentSince Mar 6, 2024 Accepting new patients

Locations

5401 S Congress Ave
Ste 204
Lake Worth, FL 33462
Phone (561) 967-4118

227 Professional Way
Ste 100
Wellington, FL 33414
Phone (561) 318-8440

227 Professional Way
Wellington, FL 33414
Phone (561) 318-8440

Interoperability endpoints

  • Direct secure messaging: sken20171@jupitermedicalcenter.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEEBD

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, 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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1467050393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 CENTERSTONE LANE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33404",
            "telephone_number": "561-310-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 CENTERSTONE LANE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33404",
            "telephone_number": "561-310-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEN",
        "first_name": "SARINA",
        "middle_name": "TSIEN CHUN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP11009483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.