Individual provider Active NPI

Susan May Thyme, ARNP

  • Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1730670555
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9215231 Issued in FL
Practice address
1762 SW Choate St
Port Saint Lucie, FL 34953
Phone
(772) 204-1576
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9215231 FL Primary

Addresses

Primary practice location

1762 SW Choate St
Port Saint Lucie, FL 34953

Mailing address

1762 SW Choate St
Port Saint Lucie, FL 34953-1527
Phone (772) 204-1576

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
I20190416000625 FL Practitioner - Nurse Practitioner 8022359231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

1796 US Hwy 441 N
Raulerson Hospital
Okeechobee, FL 34972-1918
Phone (863) 763-2151

Hospital & facility affiliations

  • HCA Florida Raulerson Hospital Hospital, Okeechobee, FL, CCN 100252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9215231FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Internal Medicine Consultants of Saint Lucie County LLC CurrentSince Mar 1, 2019 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

2401 Frist Blvd
Ste 1
Fort Pierce, FL 34950
Phone (772) 464-0033

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

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

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1730670555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 SW CHOATE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531527",
            "telephone_number": "772-204-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 SW CHOATE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34953",
            "telephone_number": "772-204-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THYME",
        "first_name": "SUSAN",
        "middle_name": "MAY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9215231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.