Adler Labossiere, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11010389 Issued in FL

Practice address

24019 Sorrento Ave
Sorrento, FL 32776-8141

Phone

(352) 406-8584

Fax

(352) 729-2201

NPI assigned

Jun 30, 2020

Last updated

Nov 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• N/a N/a N/a Professional name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1790874956

  Corporate Director

  CMS ownership

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.

• Plymouth-Sorrento Medical Center

  • Clinic/Center
  • Sorrento, FL
  • NPI 1760070114
  Medicare reassignment NPD

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1083231591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24019 SORRENTO AVE",
            "city": "SORRENTO",
            "state": "FL",
            "postal_code": "327768141",
            "telephone_number": "352-406-8584",
            "fax_number": "352-729-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24019 SORRENTO AVE",
            "city": "SORRENTO",
            "state": "FL",
            "postal_code": "327768141",
            "telephone_number": "352-406-8584",
            "fax_number": "352-729-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30844 Westridge Ter",
            "address_purpose": "LOCATION",
            "city": "Sorrento",
            "state": "FL",
            "postal_code": "327769356",
            "country_code": "US",
            "telephone_number": "352-735-8972",
            "fax_number": "352-729-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABOSSIERE",
        "first_name": "ADLER",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.sendic.com",
            "affiliation": "N",
            "endpointDescription": "GroupHome",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Sendinc.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26319 Sleepy Hollow St",
            "city": "Sorrento",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327769616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Nathalie Jimenez, RN
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• Marie Alberte Labossiere
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• Maria Michelle De Luna Lavides, TDPT
• Life Settlement Hub LLC
• Lobar Medical PA

• Family Nurse Practitioner in Sorrento, FL
• Providers in Sorrento, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.