Active NPI
Jennifer Lavandero, APRN
- Nurse Practitioner
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11035137
- Practice address
- 2900 N Military TRL Ste 110
Boca Raton, FL 33431-6347 - Phone
- (561) 788-7545
- Fax
- (561) 556-1216
- NPI assigned
- Nov 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11035137 | FL | Primary |
Addresses
Primary practice location
2900 N Military TRL Ste 110
Boca Raton, FL 33431-6347
Mailing address
9960 NW 116TH Way Ste 13
Medley, FL 33178-1175
Phone (786) 924-1311
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
2900 N Military TRL
Suite 110
Boca Raton, FL 33431-6347
Phone (561) 788-7545
7015 Beracasa Way
Cora Physical Therapy W Boca Raton
Boca Raton, FL 33433-3453
Phone (561) 939-2033
Hospital & facility affiliations
- Boca Raton Regional Hospital
- Delray Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11035137 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ezr Research | Current | Accepting new patients |
Locations
875 Meadows Rd
Ste 323
Boca Raton, FL 33486
Phone (561) 395-2003
2900 N Military Trl
Ste 110
Boca Raton, FL 33431
Phone (561) 362-0510
Interoperability endpoints
- jennifer.lavandero.1@32660.direct.athenahealth.com
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.
-
- Medical Specialty Clinic/Center
- Boca Raton, FL
- NPI 1225853617
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1124841168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9960 NW 116TH WAY STE 13",
"city": "MEDLEY",
"state": "FL",
"postal_code": "331781175",
"telephone_number": "786-924-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N MILITARY TRL STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316347",
"telephone_number": "561-788-7545",
"fax_number": "561-556-1216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVANDERO",
"first_name": "JENNIFER",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-07",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11035137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.