Active NPI
Cynthia Prokos
- Family Nurse Practitioner
- Jupiter, FL
National Provider Identifier
1790338663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11003351
- Practice address
- 136 Jupiter Lakes Blvd
Jupiter, FL 33458-7180 - Phone
- (561) 746-3030
- NPI assigned
- Jul 19, 2019
- Last updated
- Jul 19, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11003351 | FL | Primary |
Addresses
Primary practice location
136 Jupiter Lakes Blvd
Jupiter, FL 33458-7180
Mailing address
136 Jupiter Lakes Blvd
Jupiter, FL 33458-7180
Phone (561) 746-3030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11003351 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1790338663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 JUPITER LAKES BLVD",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587180",
"telephone_number": "561-746-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 JUPITER LAKES BLVD",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587180",
"telephone_number": "561-746-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROKOS",
"first_name": "CYNTHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11003351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
- Professional Therapy & Rehabilitation Services LLC (PTRS Group)
- Progressive Health and Rejuvenation
- Progressive Home Health Care Inc.
- Project Hope Autism Services
- Craig P Prokos, M.D.
- Cyndia Prophete
- Kehatilde Prophete
- Randolph Gregory Propps, DC
- Provision Care Home Health LLC
- PRSM Solutions LLC (Brightstar Care of North Palm Beach and Martin Counties)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.