Ursula G Fletcher

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1554 N Meadowcrest Blvd
Crystal River, FL 34429-5756

Phone

(352) 228-4470

NPI assigned

Aug 17, 2021

Last updated

Aug 17, 2021By the provider in NPPES

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

Practice roles

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.

• Lifestream Behavioral Center Inc

  • Primary Care Clinic/Center
  • Leesburg, FL
  • NPI 1659613776
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1114693561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 S SMITH ST",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344530874",
            "telephone_number": "352-726-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 N MEADOWCREST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295756",
            "telephone_number": "352-228-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "URSULA",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Heintz Fernandez, MS,CCC-SLP
• Ira Fialko, DO
• Malissa Field Watson, PHARM.D.
• Kristen Anne Fisher, PA
• Scott R Fisher, MD
• Florida Caregivers, Inc.
• Jessica L Fong
• Ellen Fowler
• Jon P. Frankel, MD
• Antoinette Yvette Frussinetty, DNP, APRN, FNP-BC

• Counselor in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.