Individual provider Active NPI

Sofia Thomas, DNP, FNP-C, CNN-NP

  • Nurse Practitioner
  • Royal Palm Beach, FL
National Provider Identifier
1962064071
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11003004 Issued in FL
Practice address
6901 Okeechobee Blvd # D5H28
Royal Palm Beach, FL 33411-2511
Phone
(561) 283-1040
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 11003004 FL Primary

Addresses

Primary practice location

6901 Okeechobee Blvd # D5H28
Royal Palm Beach, FL 33411-2511

Mailing address

6901 Okeechobee Blvd # D5H28
Royal Palm Beach, FL 33411-2511
Phone (561) 283-1040

Other practice location 1

5305 Greenwood Ave Ste 102
West Palm Beach, FL 33407-2448
Phone (561) 840-7779

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

LicenseStateTypeSpecialty
11003004FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KCS1, LLC Current Accepting new patients

Locations

6901 Okeechobee Blvd
Ste D5
West Palm Beach, FL 33411
Phone (561) 223-8239

Organizations & group practices 1

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1962064071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 OKEECHOBEE BLVD # D5H28",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334112511",
            "telephone_number": "561-283-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 OKEECHOBEE BLVD # D5H28",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334112511",
            "telephone_number": "561-283-1040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5305 Greenwood Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072448",
            "country_code": "US",
            "telephone_number": "561-840-7779",
            "fax_number": "561-840-9779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SOFIA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, CNN-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11003004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.