Lindsay Nahara Dessources, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

25621 Issued in FL

Practice address

1082 Jackson CT
Immokalee, FL 34142-2767

Phone

(239) 324-5853

NPI assigned

Sep 17, 2024

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Health Partners LLC

  dba Core Health Partners

  • General Practice Physician
  • Immokalee, FL
  • NPI 1649815200

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1225865884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 JACKSON CT",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422767",
            "telephone_number": "239-324-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 JACKSON CT",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422767",
            "telephone_number": "239-324-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSOURCES",
        "first_name": "LINDSAY",
        "middle_name": "NAHARA",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "25621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jane J Darien, LCSW
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• Ruth Davies
• Adela M De Vera, MD
• Yira Mercedes Diaz Mena
• William H Dillon, DO
• Dao-Tien Duong, ARNP
• Exclusive Hands Homecare LLC
• Eye Associates of Manatee LLP

• Occupational Therapist in Immokalee, FL
• Providers in Immokalee, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.