Thaysha Dutes, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11030556 Issued in FL

Practice address

808 SW Glenview CT Ste 812&814
Port St Lucie, FL 34953-2684

Phone

(772) 240-7822

NPI assigned

Jan 2, 2024

Last updated

Apr 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiology Partners PLGroup PAC ID 5890751929, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardiology Partners PL

  • Cardiovascular Disease Physician
  • Wellington, FL
  • NPI 1518978626
  Medicare reassignment Care Compare group NPD
• Florida Heart Center, PA

  • Cardiovascular Disease Physician
  • Fort Pierce, FL
  • NPI 1760440440
  Medicare reassignment NPD
• Concierge Community Care LLC

  • Developmental Disabilities Clinic/Center
  • Port Saint Lucie, FL
  • NPI 1982201893
  NPD Authorized official

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1629848676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 NE GALILEAN ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831211",
            "telephone_number": "754-234-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 SW GLENVIEW CT STE 812&814",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532684",
            "telephone_number": "772-240-7822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 NE Galilean St",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349831211",
            "country_code": "US",
            "telephone_number": "754-234-2836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTES",
        "first_name": "THAYSHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11030556",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9441214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyanne Marie Dunkley, APRN, CNM
• Shelita Dunlap
• Dailiana Duque Dimart
• Dayamy Duran Sr.
• Joshua Socorro Duran, APRN
• Anne Marie Duval
• Janet M Duval
• Trevor Anthony Duval
• Karen Dyer
• Vanessa Dyer, RDN, LD

• Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.

Verify at the official NPI Registry.