Individual provider Active NPI

Lucienne Flerijean

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1083423156
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN1103628 Issued in FL
Practice address
1500 Lakeland Hills Blvd Ste 4
Lakeland, FL 33805-3257
Phone
(407) 719-6673
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 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 APRN1103628 FL Primary

Addresses

Primary practice location

1500 Lakeland Hills Blvd Ste 4
Lakeland, FL 33805-3257

Mailing address

6832 Kingston Dr
Tampa, FL 33619-4665
Phone (813) 951-0561

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
I20250317000610 FL Practitioner - Nurse Practitioner 0547782849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean Medical IncGroup PAC ID 7810174711, 10 clinicians

Practice addresses (Care Compare)

1129 Lakeland Hills Blvd
Lakeland, FL 33805-4655
Phone (863) 594-2433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN1103628FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Medical Inc CurrentSince Feb 18, 2025 Accepting new patients

Locations

1129 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 594-2433

1500 Lakeland Hills Blvd
Ste 4
Lakeland, FL 33805
Phone (863) 688-3674

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1083423156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 KINGSTON DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194665",
            "telephone_number": "813-951-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LAKELAND HILLS BLVD STE 4",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053257",
            "telephone_number": "407-719-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLERIJEAN",
        "first_name": "LUCIENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN1103628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.