Individual provider Active NPI

Angela Marie Thomas, APRN

  • Family Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1700416419
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005643 Issued in FL
Practice address
2828 S Seacrest Blvd Ste 213
Boynton Beach, FL 33435-7944
Phone
(561) 536-3166
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11005643 FL Primary

Addresses

Primary practice location

2828 S Seacrest Blvd Ste 213
Boynton Beach, FL 33435-7944

Mailing address

2828 S Seacrest Blvd Ste 213
Boynton Beach, FL 33435-7944
Phone (561) 536-3166

Other practice location 1

2345 W Hillsboro Blvd Ste 205
Deerfield Beach, FL 33442-1111
Phone (954) 360-7769

Other practice location 2

2700 W Cypress Creek Rd Ste C100
Fort Lauderdale, FL 33309-1741
Phone (954) 974-3111

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL thefamilydoctoramt@gmail.com

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
I20200220001729 FL Practitioner - Nurse Practitioner 8022445642 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Medical and Wellness Center, PLLCGroup PAC ID 1254470487, 3 clinicians

Practice addresses (Care Compare)

3257 SE Salerno Rd
Unit 3
Stuart, FL 34997-6740
Phone (772) 286-5277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11005643FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Americare Wellness, LLC. CurrentSince Dec 20, 2020 Accepting new patients
Michael P. Schmidt, M.D., P.a. CurrentSince Jan 13, 2020 Accepting new patients
Coastal Medical & Wellness Center, PLLC Family CurrentSince Mar 1, 2022 Accepting new patients
Retinovitreous Associates LTD PastSince Mar 1, 2022 Accepting new patients

Locations

2828 S Seacrest Blvd
Ste 213
Boynton Beach, FL 33435
Phone (561) 536-3166

2345 W Hillsboro Blvd
Ste 205
Deerfield Beach, FL 33442
Phone (954) 360-7769

2223 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 360-7769

3257 SE Salerno Rd
Unit 3
Stuart, FL 34997
Phone (772) 286-5277

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1700416419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD STE 213",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-536-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD STE 213",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-536-3166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 W Hillsboro Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334421111",
            "country_code": "US",
            "telephone_number": "954-360-7769",
            "fax_number": "954-427-2504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 W Cypress Creek Rd Ste C100",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333091741",
            "country_code": "US",
            "telephone_number": "954-974-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "thefamilydoctoramt@gmail.com",
            "affiliation": "N",
            "address_1": "2345 W Hillsboro Blvd Ste 205",
            "city": "Deerfield Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334421111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.