Individual provider Active NPI

Valenso Lilavois, APRN

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1104467950
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018408 Issued in FL
Practice address
6651 N Military TRL Ste 100
Boca Raton, FL 33496-2402
Phone
(561) 998-3747
NPI assigned
Oct 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2659 HI
Family Nurse Practitioner 363LF0000X 11018408 FL Primary

Addresses

Primary practice location

6651 N Military TRL Ste 100
Boca Raton, FL 33496-2402

Mailing address

6651 N Military TRL Ste 100
Boca Raton, FL 33496-2402

Other practice location 1

377 Keahole St
Honolulu, HI 96825-3405
Phone (808) 395-4427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, FL, KY, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200930000250 HI Practitioner - Nurse Practitioner 5395164099 Reassigns benefits to 3 organizations
I20220524003361 FL Practitioner - Nurse Practitioner 5395164099 Reassigns benefits to 2 organizations
I20260624003494 KY Practitioner - Nurse Practitioner 5395164099 Reassigns benefits to 1 organization
I20260624004687 CA Practitioner - Nurse Practitioner 5395164099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 California St
Suite 2300
San Francisco, CA 94111-3720

1 California St
Suite 2300
San Francisco, CA 94111-5424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018408FLMDFamily Nurse Practitioner
2659HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Nov 28, 2022 Accepting new patients
Associatesmd Medical Group Inc CurrentSince Jun 9, 2023 Accepting new patients
Aaa Urgent Care LLC CurrentSince Oct 1, 2023 Accepting new patients
Kalihi Palama Health Center CurrentSince Sep 18, 2020 Accepting new patients
Associatesmd Medical Group Inc Current Accepting new patients
Kalihi Palama Health Center CurrentSince Sep 18, 2020 Accepting new patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince May 24, 2021 Accepting new patients
Carefirst Urgent Care, LLC Past Accepting new patients

Locations

4780 SW 64th Ave
Ste 103
Davie, FL 33314

4780 SW 64th Ave
Davie, FL 33314

2122 W Cypress Creek Rd
Ste 110
Ft Lauderdale, FL 33309
Phone (954) 353-3180

2004 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 450-8500

8229 NW 88th Ave
Tamarac, FL 33321
Phone (513) 535-7181

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500

377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427

915 N King St
Honolulu, HI 96817
Phone (808) 848-1438

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: valenso.lilavois.1@30520.direct.athenahealth.com

Organizations & group practices 10

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": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1104467950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 N MILITARY TRL STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 N MILITARY TRL STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962402",
            "telephone_number": "561-998-3747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 Keahole St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968253405",
            "country_code": "US",
            "telephone_number": "808-395-4427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILAVOIS",
        "first_name": "VALENSO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2659",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.