Lydia Katherine Breaux
Nurse Practitioner, Family in Lake Worth, FL. Individual provider (NPI-1).
Details
- NPI
- 1558097089
- Entity type
- Individual (NPI-1)
- Name
- Lydia Katherine Breaux
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2022
- Certification date
- Oct 19, 2026
- Last updated
- Oct 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11021004 | FL | Yes |
Practice location
201 N Dixie HwyLake Worth, FL 33460-3079
Phone 561-867-9991 · Fax 800-755-8631
Mailing address
Po Box 100 Dept#394Memphis, TN 38148-0001
Phone 941-300-4440 · Fax 941-404-1760
Other practice locations
Miami Beach, FL 33139-6617
Phone 305-514-0813 · Fax 552-354-8118
Fort Lauderdale, FL 33316-1929
Phone 941-803-7939 · Fax 855-643-6201
Lake Worth, FL 33467-2502
Phone 561-508-9140 · Fax 833-468-5270
Miami Gardens, FL 33055-2934
Phone 941-300-4440 · Fax 888-285-1741
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 102 Family Nurse Practitioner providers in Lake Worth · All 3,011 providers in Lake Worth
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