Individual provider Active NPI

Katya Lorenzo, APRN, FNP-BC

  • Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1619721818
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11032252 Issued in FL
Practice address
1508 SW 1St Ave
Boca Raton, FL 33432-7201
Phone
(561) 376-1924
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11032252 FL Primary

Addresses

Primary practice location

1508 SW 1St Ave
Boca Raton, FL 33432-7201

Mailing address

1508 SW 1St Ave
Boca Raton, FL 33432-7201

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
I20241003004067 FL Practitioner - Nurse Practitioner 4981135795 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
Mission Medical Care PCGroup PAC ID 2365705696, 54 clinicians

Practice addresses (Care Compare)

9980 Central Park Blvd N
Suite 202
Boca Raton, FL 33428-1703
Phone (212) 809-3339

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11032252FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrivewell Infusion FL, LLC CurrentSince Aug 1, 2024 Accepting new patients
Mission Medical Care PC Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 202
Boca Raton, FL 33428
Phone (212) 809-3339

265 Sunrise Hwy
Ste 1274
Rockville Ctr, NY 11570

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1619721818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 SW 1ST AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 SW 1ST AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327201",
            "telephone_number": "561-376-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "KATYA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11032252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.