Individual provider Active NPI

Rhonda Patrick, ARNP

  • Family Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1508203837
Registry record updated Dec 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9205613 Issued in FL
Practice address
165 SE 26TH Ave
Boynton Beach, FL 33435-7625
Phone
(561) 329-0408
Fax
(502) 340-1531
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9205613 FL Primary

Addresses

Primary practice location

165 SE 26TH Ave
Boynton Beach, FL 33435-7625

Mailing address

165 SE 26TH Ave
Boynton Beach, FL 33435-7625

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
I20130919000023 FL Practitioner - Nurse Practitioner 8527202290 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9205613FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Physiatry LLC CurrentSince Nov 1, 2020 Accepting new patients
Palm Beach Acute Care Consultants, LLC CurrentSince Oct 7, 2024 Accepting new patients
Legacy Physiatry Group LLC CurrentSince Sep 19, 2019 Accepting new patients
Center for Advance Cardiovascular Medicine, PLLC CurrentSince Jun 2, 2018 Accepting new patients
Michael Tindel, M.D Past Accepting new patients

Locations

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

5493 Wiles Rd
Ste 106
Coconut Creek, FL 33073
Phone (321) 214-4530

1615 S Congress Ave
Ste 103
Delray Beach, FL 33445
Phone (561) 602-4114

4849 Lake Worth Rd
Ste 201
Greenacres, FL 33463
Phone (561) 784-7014

1404 NW 22nd St
Miami, FL 33142
Phone (305) 325-1050

9400 SW 137th Ave
Miami, FL 33186
Phone (305) 385-8290

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

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

16200 S Jog Rd
West Delray Beach, FL 33446
Phone (561) 362-9644

850 Central Pkwy E
Ste 275
Plano, TX 75074

Organizations & group practices 6

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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482019200000",
    "number": "1508203837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SE 26TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SE 26TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357625",
            "telephone_number": "561-329-0408",
            "fax_number": "502-340-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "RHONDA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2016-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9205613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.