Individual provider Active NPI

Joanne Caridad Blanco Lebosada, MSN, APRN-C, FNP

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1184247157
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007182 Issued in FL
Practice address
4707 SW 62ND PL
Ocala, FL 34474-4786
Phone
(352) 216-2968
NPI assigned
May 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2020

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 11007182 FL Primary

Addresses

Primary practice location

4707 SW 62ND PL
Ocala, FL 34474-4786

Mailing address

4707 SW 62ND PL
Ocala, FL 34474-4786
Phone (352) 216-2968

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
I20200911001924 FL Practitioner - Nurse Practitioner 1254759947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Diseases Specialty Associates PLLCGroup PAC ID 0749531598, 6 clinicians

Practice addresses (Care Compare)

150 SE 17TH St
Suite 801
Ocala, FL 34471-3716
Phone (352) 240-8555

Hospital & facility affiliations

  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
11007182FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Specialty Associates PLLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

150 SE 17th St
Ste 801
Ocala, FL 34471
Phone (352) 237-7646

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1184247157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 SW 62ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744786",
            "telephone_number": "352-216-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 SW 62ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744786",
            "telephone_number": "352-216-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOSADA",
        "first_name": "JOANNE CARIDAD",
        "middle_name": "BLANCO",
        "credential": "MSN, APRN-C, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.