Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thaysha Dutes, RN

Individual provider Nurse Practitioner · NPI 1629848676

Thaysha Dutes, RN is a Nurse Practitioner in Port St Lucie, Florida. Qualified in 2023, 3 years ago. Practices with Cardiology Partners Pl, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

808 SW Glenview Ct Ste 812&814
Port St Lucie, FL 34953-2684
Phone: (772) 240-7822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 720 Ne Galilean St, Port Saint Lucie, FL 34983-1211 — (754) 234-2836

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11030556 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9441214 (FL)

Record details

NPI number1629848676
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJanuary 2, 2024
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing address720 Ne Galilean St, Port Saint Lucie, FL 34983-1211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cardiology Partners Pl — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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