Active NPI
Lydia Katherine Breaux
- Family Nurse Practitioner
- Lake Worth, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11021004
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124911600 | Medicaid | FL |
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 90.03
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11021004 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Can Community Health, Inc. | Family | Current | Accepting new patients |
| Can Community Health Inc. | Current | 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
- 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.
-
- Community/Retail Pharmacy
- Jacksonville, FL
- NPI 1538600424
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.