Individual provider Active NPI

Lydia Katherine Breaux

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1558097089
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021004 Issued in FL
Practice address
201 N Dixie Hwy
Lake Worth, FL 33460-3079
Phone
(561) 867-9991
Fax
(800) 755-8631
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 APRN11021004 FL Primary

Addresses

Primary practice location

201 N Dixie Hwy
Lake Worth, FL 33460-3079

Mailing address

PO Box 100 Dept#394
Memphis, TN 38148-0001
Phone (941) 300-4440

Other practice location 1

18360 NW 47th Ave
Miami Gardens, FL 33055-2934
Phone (941) 300-4440

Other practice location 2

315 SE 14th St
Fort Lauderdale, FL 33316-1929
Phone (941) 803-7939

Other practice location 3

427 Washington Ave
Miami Beach, FL 33139-6617
Phone (305) 514-0813

Other identifiers 1

IdentifierTypeStateIssuer
124911600MedicaidFL

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
I20230208003386 FL Practitioner - Nurse Practitioner 7214309764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Can Community Health IncGroup PAC ID 6305883133, 42 clinicians

Practice addresses (Care Compare)

201 N Dixie Hwy
Lake Worth, FL 33460-3079
Phone (561) 867-9991

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.03
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11021004FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Can Community Health, Inc. Family CurrentSince Mar 1, 2023 Accepting new patients
Can Community Health Inc. CurrentSince Mar 1, 2023 Accepting new patients

Locations

1435 Dunn Ave
Ste 101
Daytona Beach, FL 32114
Phone (386) 274-7651

1125 N Nova Rd
Daytona Beach, FL 32117
Phone (386) 274-7651

315 SE 14th St
Ft Lauderdale, FL 33316
Phone (754) 701-6920

201 N Dixie Hwy
Lake Worth Beach, FL 33460
Phone (561) 533-9699

427 Washington Ave
Miami Beach, FL 33139
Phone (305) 514-0813

18360 NW 47th Ave
Miami Gardens, FL 33055
Phone (786) 800-5631

4101 S Hospital Dr
Ste 9
Plantation, FL 33317
Phone (754) 701-6911

4440 Fruitville Rd
Sarasota, FL 34232
Phone (941) 366-0134

1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134

Interoperability endpoints

  • Direct secure messaging: lydia.breaux@can.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1558097089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100 DEPT#394",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603079",
            "telephone_number": "561-867-9991",
            "fax_number": "800-755-8631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18360 NW 47th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330552934",
            "country_code": "US",
            "telephone_number": "941-300-4440",
            "fax_number": "888-285-1741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 SE 14th St",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333161929",
            "country_code": "US",
            "telephone_number": "941-803-7939",
            "fax_number": "855-643-6201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "427 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331396617",
            "country_code": "US",
            "telephone_number": "305-514-0813",
            "fax_number": "552-354-8118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "LYDIA",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124911600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.