Desirae Lemmon, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11002960 Issued in FL

Practice address

1102 A1A N Ste 104
Ponte Vedra Beach, FL 32082-4098

Phone

(904) 273-6533

Fax

(904) 273-6532

NPI assigned

Aug 1, 2019

Last updated

Aug 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3656/brand/1/csg/1/fhir/r4

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.

• Integrative Medical Group, USA, LLC

  • Primary Care Clinic/Center
  • Ponte Vedra Beach, FL
  • NPI 1144628439
  NPD (past)

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1073167557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 EAGLE ROCK DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320818392",
            "telephone_number": "330-888-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 A1A N STE 104",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824098",
            "telephone_number": "904-273-6533",
            "fax_number": "904-273-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMMON",
        "first_name": "DESIRAE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11002960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Amberle Laurens
• Laurnce Schulman (Laurence Schulmam LCSW)
• Bianca L Lawson, BCBA, M.ED
• Gasper Lazzara, DDS
• Lindsey Leitman, APRN
• Alyssa Lenhardt, OTR/L
• Leonie King LLC (Ponte Vedra Premier Healthcare)
• Rose Ann Lickenbrock, LCSW
• Life Care Ponte Vedra (Vicar's Landing)
• Life Care Ponte Vedra (Vicar's Landing)

• Pediatric Nurse Practitioner in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.