Individual provider Active NPI

Elizabeth Justine Deberry, C.R.N.P.

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1073896338
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9423760 Issued in FL
Practice address
7350 Sandlake Commons Blvd Ste 1100
Orlando, FL 32819-8031
Phone
(407) 636-2437
NPI assigned
Sep 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9423760 FL Primary

Addresses

Primary practice location

7350 Sandlake Commons Blvd Ste 1100
Orlando, FL 32819-8031

Mailing address

133 Benmore Dr Ste 100
Winter Park, FL 32792-4111
Phone (689) 232-5086

Other practice location 1

44 W Michigan St
Orlando, FL 32806-4453
Phone (407) 422-4921

Other practice location 2

685 Palm Springs Dr Ste 1E
Altamonte Springs, FL 32701-7853
Phone (407) 636-2437

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
I20160822000177 FL Practitioner - Nurse Practitioner 0941475560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Ear Nose and Throat Surgical Associates PAGroup PAC ID 2466437926, 49 clinicians

Practice addresses (Care Compare)

7350 Sandlake Commons Blvd
Suite 1100
Orlando, FL 32819-8031
Phone (407) 636-2437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Ear Nose and Throat Surgical Associates PA CurrentSince Jul 21, 2025 Accepting new patients
Jose Andrade MD PA CurrentSince Jan 22, 2025 Accepting new patients
Jose Andrade MD PA CurrentSince Jan 1, 2025 Accepting new patients
Premier Allergist of Florida LLC Past Accepting new patients

Locations

685 Palm Springs Dr
Ste 1E
Altamonte Springs, FL 32701
Phone (407) 636-2437

400 Celebration Pl
Ste A120
Kissimmee, FL 34747
Phone (407) 228-8066

12315 Lake Underhill Rd
Ste A
Orlando, FL 32828
Phone (407) 380-0302

44 W Michigan St
Orlando, FL 32806
Phone (407) 422-4921

5412 Curry Ford Rd
Orlando, FL 32812
Phone (407) 658-7882

7350 Sandlake Commons Blvd
Ste 1100
Orlando, FL 32819
Phone (407) 352-7390

12323 W Colonial Dr
Ste 240
Winter Garden, FL 34787

133 Benmore Dr
Ste 100
Winter Park, FL 32792

Organizations & group practices 4

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": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1073896338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924111",
            "telephone_number": "689-232-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 SANDLAKE COMMONS BLVD STE 1100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198031",
            "telephone_number": "407-636-2437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 W Michigan St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328064453",
            "country_code": "US",
            "telephone_number": "407-422-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "685 Palm Springs Dr Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327017853",
            "country_code": "US",
            "telephone_number": "407-636-2437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBERRY",
        "first_name": "ELIZABETH",
        "middle_name": "JUSTINE",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9423760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.