Trudell Doctor MD and Associates, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TRUDELL DOCTOR MD AND ASSOCIATES, LLC

Practice address

6080 Boynton Beach Blvd Ste 230
Boynton Beach, FL 33437-3588

Phone

(561) 807-7780

Fax

(866) 950-0144

NPI assigned

May 27, 2022

Organization subpart

No

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

Authorized official

Name

Christa Harding

Title

Practice Admin

Phone

(561) 262-3094

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26780/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trudell A Doctor, M.D

  • Family Medicine Physician
  • Boynton Beach, FL
  • NPI 1609001106
  Medicare reassignment NPD
• Celia Jauregui, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1487377347

  Single Specialty

  Medicare reassignment NPD
• Robyn Santiago, FNP-BC

  • Family Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1992143465
  Medicare reassignment NPD
• Cynthia Silvestre, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1174178214
  Medicare reassignment NPD
• Carolyn Milne

  • Physician Assistant
  • Greenacres, FL
  • NPI 1164277810
  Medicare reassignment
• Sherbie Darbouze, PA-C

  • Physician Assistant
  • Grand Forks, ND
  • NPI 1013606862

  FL

  Medicare reassignment

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1649919762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 BOYNTON BEACH BLVD STE 230",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373588",
            "telephone_number": "561-807-7780",
            "fax_number": "866-950-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 BOYNTON BEACH BLVD STE 230",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373588",
            "telephone_number": "561-807-7780",
            "fax_number": "866-950-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUDELL DOCTOR MD AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "561-262-3094"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Trickett, PT
• Neil Trickett, PT
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• Anand Narendra Tripathi, PHARM. D
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• Edward Trujillo, CRNA
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• Chung Tsai, A.P., D.O.M.
• Dominique Tsikis, DMD

• Primary Care Clinic/Center in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.