Individual provider Active NPI

Cindy W. Tam, APRN

  • Adult Health Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1689433666
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11031290 Issued in FL
Practice address
7556 Lake Worth Rd Ste 103
Lake Worth, FL 33467-2503
Phone
(561) 894-1370
NPI assigned
Mar 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11031290 FL
Adult Health Nurse Practitioner 363LA2200X 11031290 FL Primary

Addresses

Primary practice location

7556 Lake Worth Rd Ste 103
Lake Worth, FL 33467-2503

Mailing address

7556 Lake Worth Rd Ste 103
Lake Worth, FL 33467-2503
Phone (561) 894-1370

Other practice location 1

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (954) 436-5000

Other practice location 2

6056 Boynton Beach Blvd Ste 175
Boynton Beach, FL 33437-3500
Phone (561) 894-1370

Other practice location 3

12953 Palms West Dr Ste 202
Loxahatchee, FL 33470-4992
Phone (561) 894-1370

Other practice location 4

4205 W Atlantic Ave Ste 102
Delray Beach, FL 33445-3901
Phone (561) 894-1370

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
I20241120000042 FL Practitioner - Nurse Practitioner 7618402249 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031290FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Interventional and Diagnostic Radiology Corp CurrentSince Nov 1, 2024 Accepting new patients

Locations

6056 W Boynton Beach Blvd
Ste 175
Boynton Beach, FL 33437
Phone (561) 572-2024

4205 W Atlantic Ave
Ste 102
Delray Beach, FL 33445
Phone (561) 819-2225

7556 Lake Worth Rd
Ste 103
Lake Worth, FL 33467
Phone (561) 641-4607

12953 Palms West Dr
Ste 202
Loxahatchee, FL 33470
Phone (561) 791-7969

Organizations & group practices 1

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": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1689433666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7556 LAKE WORTH RD STE 103",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672503",
            "telephone_number": "561-894-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 LAKE WORTH RD STE 103",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672503",
            "telephone_number": "561-894-1370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 N Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281006",
            "country_code": "US",
            "telephone_number": "954-436-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6056 Boynton Beach Blvd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373500",
            "country_code": "US",
            "telephone_number": "561-894-1370",
            "fax_number": "561-894-1372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12953 Palms West Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334704992",
            "country_code": "US",
            "telephone_number": "561-894-1370",
            "fax_number": "561-894-1372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4205 W Atlantic Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334453901",
            "country_code": "US",
            "telephone_number": "561-894-1370",
            "fax_number": "561-894-1372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAM",
        "first_name": "CINDY",
        "middle_name": "W.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11031290",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11031290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.