Active NPI
Lyris Caridad Verdura-Dominic, ARNP, FNP-BC
- Nurse Practitioner
- Boca Raton, FL
National Provider Identifier
1770918948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9281611
- Practice address
- 1501 Yamato Rd
Boca Raton, FL 33431-4438 - Phone
- (561) 226-2950
- NPI assigned
- Sep 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9281611 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | ARNP9281611 | FL |
Addresses
Primary practice location
1501 Yamato Rd
Boca Raton, FL 33431-4438
Mailing address
12317 Riverfalls CT
Boca Raton, FL 33428-4856
Phone (954) 305-4052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.5 of 100
- Quality
- 69.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9281611 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1770918948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12317 RIVERFALLS CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284856",
"telephone_number": "954-305-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 YAMATO RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314438",
"telephone_number": "561-226-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDURA-DOMINIC",
"first_name": "LYRIS",
"middle_name": "CARIDAD",
"credential": "ARNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-06",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9281611",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9281611",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.