Individual provider Active NPI

Octavia Deuschle, APRN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Naples, FL
National Provider Identifier
1003422577
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11008970 Issued in FL
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

Updated by the provider on May 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211202000083 FL Practitioner - Nurse Practitioner 2961813407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11008970FLMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • FHIR API: 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

Verify at the official NPI Registry.