Active NPI
Octavia Deuschle, APRN PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Naples, FL
National Provider Identifier
1003422577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11008970
- Practice address
- 365 5TH Ave S
Naples, FL 34102-6575 - Phone
- (239) 298-1998
- NPI assigned
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11008970 | FL | Primary |
Addresses
Primary practice location
365 5TH Ave S
Naples, FL 34102-6575
Mailing address
669 10TH St N
Naples, FL 34102-8128
Phone (239) 298-1998
Other practice location 1
950 6th Ave N
Naples, FL 34102-5633
Phone (239) 298-1998
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211202000083 | FL | Practitioner - Nurse Practitioner | 2961813407 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11008970 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e13c1e21-bd04-471c-b46a-cb74f87dcaaa/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1003422577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669 10TH ST N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341028128",
"telephone_number": "239-298-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 5TH AVE S",
"city": "NAPLES",
"state": "FL",
"postal_code": "341026575",
"telephone_number": "239-298-1998"
}
],
"practiceLocations": [
{
"address_1": "950 6th Ave N",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341025633",
"country_code": "US",
"telephone_number": "239-298-1998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEUSCHLE",
"first_name": "OCTAVIA",
"credential": "APRN PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11008970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.