Ursule Bissereth

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1322 Island Green St
Champions Gate, FL 33896-6806

Phone

(863) 272-9781

NPI assigned

Apr 6, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1073208997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ISLAND GREEN ST",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338966806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ISLAND GREEN ST",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338966806",
            "telephone_number": "863-272-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSERETH",
        "first_name": "URSULE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louisa Bahena Farias
• Timothy Ryan Barnes, PTA
• Carla Batista
• Shantally Bernabel
• Mandy L Bienaime
• Chevanese N. Bogle, RBT
• Gisselle E Borrero
• Tova Brown
• BVL Family Medical Centers
• Joseph Califano II

• Case Manager/Care Coordinator in Champions Gate, FL
• Providers in Champions Gate, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.