Individual provider Active NPI

Lyne L Connor, APRN

  • Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1831117944
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN2210872 Issued in FL
Practice address
8395 W Oakland Park Blvd Ste D
Sunrise, FL 33351-7301
Phone
(954) 741-3335
Fax
(954) 368-2081
NPI assigned
Jul 17, 2006
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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 APRN2210872 FL Primary

Addresses

Primary practice location

8395 W Oakland Park Blvd Ste D
Sunrise, FL 33351-7301

Mailing address

8395 W Oakland Park Blvd Ste D
Sunrise, FL 33351-7301
Phone (954) 741-3335

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
I20051118000474 FL Practitioner - Nurse Practitioner 6103845185 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN2210872FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Masson Medical Specialist Corporation CurrentSince Mar 9, 2023 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Jul 1, 2011 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jul 1, 2011 Accepting new patients
FMC Emergency Solutions LLC Past Accepting new patients

Locations

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

8393 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 741-3335

8395 W Oakland Park Blvd
Ste A
Sunrise, FL 33351
Phone (561) 818-1367

8395 W Oakland Park Blvd
Ste D
Sunrise, FL 33351
Phone (954) 741-3335

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1831117944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8395 W OAKLAND PARK BLVD STE D",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517301",
            "telephone_number": "954-741-3335",
            "fax_number": "954-368-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 W OAKLAND PARK BLVD STE D",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517301",
            "telephone_number": "954-741-3335",
            "fax_number": "954-368-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "LYNE",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN2210872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.