Individual provider Active NPI

Brithney Jessica Lamour, PA-C

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1154299162
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9120612 Issued in FL
Practice address
1065 Southern Blvd
Bronx, NY 10459-2417
Phone
(718) 589-2440
Fax
(917) 463-3208
NPI assigned
Oct 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 035031 NY
Physician Assistant 363A00000X 9120612 FL Primary

Addresses

Primary practice location

1065 Southern Blvd
Bronx, NY 10459-2417

Mailing address

2001 NE 19TH Ter
Cape Coral, FL 33909-5321

Other practice location 1

24520 Production Cir Ste 3
Bonita Springs, FL 34135-7029
Phone (239) 319-5620

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
I20260605000623 FL Practitioner - Physician Assistant 6507337094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15044 Sandpiper LN
Unit 8
Naples, FL 34114-8584

24520 Production Cir
Suite 3
Bonita Springs, FL 34135-7029

3531 Imperial Crossing Dr
Unit 4201
Bonita Springs, FL 34134-7636

97 Forest Ave
Edgerton, WI 53534-9320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Triboro Pediatrics Medical PC CurrentSince Nov 8, 2025 Accepting new patients
Tommy Galanis MD PC PastSince Nov 8, 2025 Accepting new patients

Locations

3540 82nd St
Ste 1D
Jackson Heights, NY 11372
Phone (718) 507-5800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFIEAD

Organizations & group practices 3

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": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1154299162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 NE 19TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339095321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592417",
            "telephone_number": "718-589-2440",
            "fax_number": "917-463-3208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24520 Production Cir Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341357029",
            "country_code": "US",
            "telephone_number": "239-319-5620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMOUR",
        "first_name": "BRITHNEY",
        "middle_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "035031",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9120612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.