Individual provider Active NPI

Nasser Lavaud

  • Nurse Practitioner
  • Lantana, FL
National Provider Identifier
1205207883
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9299825 Issued in FL
Practice address
1250 Southwinds Dr
Lantana, FL 33462-1459
Phone
(561) 582-5559
Fax
(561) 439-4384
NPI assigned
Oct 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 APRN9299825 FL
Nurse Practitioner 363L00000X ARNP9299825 FL Primary

Addresses

Primary practice location

1250 Southwinds Dr
Lantana, FL 33462-1459

Mailing address

2601 10TH Ave N
Suite 100
Palm Springs, FL 33461-3141
Phone (561) 642-1008

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
I20160209000868 FL Practitioner - Nurse Practitioner 0042514226 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Internal Medicine of OcalaGroup PAC ID 9032384896, 6 clinicians

Practice addresses (Care Compare)

1623 SW 1St Ave
Ocala, FL 34471-6528
Phone (352) 732-9844

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9299825FLMDNurse Practitioner
APRN9299825FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Emergency Services LLC Nurse Practitioner CurrentSince Jun 25, 2016 Accepting new patients
MCR Health, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Family Internal Medicine of Ocala CurrentSince Oct 4, 2025 Accepting new patients
Balanced Wellbeing LLC CurrentSince Mar 15, 2017 Accepting new patients
MCR Health, Inc. Family CurrentSince Sep 1, 2020 Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Locations

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

11740 SW 97th Ter
Ocala, FL 34481
Phone (352) 732-9844

1623 SW 1st Ave
Ocala, FL 34471
Phone (352) 732-9844

3130 SW 27th Ave
Ocala, FL 34471
Phone (352) 547-2081

1627 SW 1st Ave
Ste 200
Ocala, FL 34471
Phone (352) 234-3319

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Organizations & group practices 6

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 1

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": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1205207883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 10TH AVE N",
            "address_2": "SUITE 100",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613141",
            "telephone_number": "561-642-1008",
            "fax_number": "561-802-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SOUTHWINDS DR",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621459",
            "telephone_number": "561-582-5559",
            "fax_number": "561-439-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVAUD",
        "first_name": "NASSER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9299825",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9299825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

Verify at the official NPI Registry.