Individual provider Active NPI

Lynda Dieubon

  • Primary Care Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1730657867
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9247681 Issued in FL
Practice address
17341 SW 33Rd St
Miramar, FL 33029-1694
Phone
(786) 399-8235
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 9247681 FL Primary

Addresses

Primary practice location

17341 SW 33Rd St
Miramar, FL 33029-1694

Mailing address

17341 SW 33Rd St
Miramar, FL 33029-1694
Phone (786) 399-8235

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
I20240917002417 FL Practitioner - Nurse Practitioner 2769923804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine Pain Management Medical Center, LLCGroup PAC ID 9234304916, 2 clinicians

Practice addresses (Care Compare)

915 NE 125TH St
North Miami, FL 33161-5722
Phone (305) 836-1421

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9247681FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Docs PC CurrentSince Aug 19, 2024 Accepting new patients

Locations

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

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

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

Organizations & group practices 2

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": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1730657867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17341 SW 33RD ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330291694",
            "telephone_number": "786-399-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17341 SW 33RD ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330291694",
            "telephone_number": "786-399-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEUBON",
        "first_name": "LYNDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9247681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.