Renny Kuriakose Thoppil Wattkis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11005646 Issued in FL

Practice address

15322 92ND CT N
West Palm Beach, FL 33412-1767

Phone

(561) 281-1441

NPI assigned

Jan 22, 2020

Last updated

Jan 22, 2020By 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 1

Addresses

Other names 1

• Renny Kuriakose Thoppil Former name

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Florida Premier Surgery LLCGroup PAC ID 7517401615, 6 clinicians

Wound Care Associates LLCGroup PAC ID 7618294984, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• South Florida Premier Surgery LLC

  dba South Florida Premier Medicine

  • Surgery Physician
  • Delray Beach, FL
  • NPI 1912765835
  Medicare reassignment Care Compare group NPD
• Wound Care Associates LLC

  • Internal Medicine Physician
  • Delray Beach, FL
  • NPI 1255755542
  Medicare reassignment Care Compare group NPD
• Eugenio Rodriguez MD PA

  • Surgery Physician
  • Delray Beach, FL
  • NPI 1699080341
  Medicare reassignment NPD
• Renew Wound Care of Florida LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1811631591
  Medicare reassignment NPD
• A2Z Medical LLC

  • General Practice Registered Nurse
  • West Palm Beach, FL
  • NPI 1124719703
  NPD

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1710517438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15322 92ND CT N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121767",
            "telephone_number": "561-281-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15322 92ND CT N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121767",
            "telephone_number": "561-281-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOPPIL WATTKIS",
        "first_name": "RENNY",
        "middle_name": "KURIAKOSE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENNY",
            "last_name": "THOPPIL",
            "middle_name": "KURIAKOSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luciana Garzon Thompson
• Marsha Thompson, MS BCBA
• Martin Paul Thompson, LCSW
• Michelle E Thompson, MT
• Tammy Lashon Thompson, PSY. S.
• Thrive Addiction and Recovery Center LLC
• Thrive Therapy of Palm Beach
• Thrivewell Integrative Therapy
• Jenna Thumen
• Leeah Apryl Thurston

• Family Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.