Individual provider Active NPI

Sophia Dionne Lyn Chinque, ARNP

  • Adult Health Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1467823294
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9233124 Issued in FL
Practice address
10358 Olde Clydesdale Circle
Lake Worth, FL 33449
Phone
(561) 308-9389
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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 ARNP9233124 FL Primary

Addresses

Primary practice location

10358 Olde Clydesdale Circle
Lake Worth, FL 33449

Mailing address

2800 S Ocean Blvd
Boca Raton, FL 33432-8332
Phone (561) 433-3914

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
I20160203001205 FL Practitioner - Nurse Practitioner 8628372117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4847 David S Mack Dr
West Palm Beach, FL 33417-8023
Phone (561) 471-5111

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph L Morse Health Center, Inc. CurrentSince Jun 13, 2016 Accepting new patients
Morselife Housing Corporation CurrentSince Aug 22, 2018 Accepting new patients
Joseph L Morse Health Center, Inc. CurrentSince Jun 13, 2016 Accepting new patients

Locations

4847 David S Mack Dr
West Palm Beach, FL 33417
Phone (561) 209-6123

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": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1467823294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S OCEAN BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334328332",
            "telephone_number": "561-433-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10358 OLDE CLYDESDALE CIRCLE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33449",
            "telephone_number": "561-308-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYN CHINQUE",
        "first_name": "SOPHIA",
        "middle_name": "DIONNE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9233124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.