Desiree Nichole Lafayette

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1104491 Issued in FL

Practice address

819 Fitness Rd
Southport, FL 32409-2557

Phone

(850) 447-2911

NPI assigned

Jul 24, 2026

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1784851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1205757077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 FITNESS RD",
            "city": "SOUTHPORT",
            "state": "FL",
            "postal_code": "324092557",
            "telephone_number": "850-447-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 FITNESS RD",
            "city": "SOUTHPORT",
            "state": "FL",
            "postal_code": "324092557",
            "telephone_number": "850-447-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFAYETTE",
        "first_name": "DESIREE",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1104491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisha Myranda Estes, LMT
• Her Table Collective Therapy & Wellness LLC
• Gina Hodges, LPN
• Jean, Ezechiel
• Ezechiel Jean
• William Franklin McKeithen Jr., PTA
• Regina M McMillin
• Maureen C Survant, SLP/CCC ED.D.

• Family Nurse Practitioner in Southport, FL
• Providers in Southport, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.