Individual provider Active NPI

Margaline Lazarre, APRN

  • Gerontology Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1053924589
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11008827 Issued in FL
Practice address
17343 Summer Oak LN
Clermont, FL 34711-5905
Phone
(863) 409-1330
NPI assigned
Aug 25, 2020
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11008827 FL Primary

Addresses

Primary practice location

17343 Summer Oak LN
Clermont, FL 34711-5905

Mailing address

17343 Summer Oak LN
Clermont, FL 34711-5905
Phone (863) 409-1330

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

State licenses

LicenseStateTypeSpecialty
11008827FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Home Health Services, Inc CurrentSince Dec 16, 2002 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1053924589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17343 SUMMER OAK LN",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115905",
            "telephone_number": "863-409-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17343 SUMMER OAK LN",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115905",
            "telephone_number": "863-409-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARRE",
        "first_name": "MARGALINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11008827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.