Active NPI
Junie Laforest, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Fort Lauderdale, FL
National Provider Identifier
1265073928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11004358
- Practice address
- 3800 W Broward Blvd Ste 100
Fort Lauderdale, FL 33312-1018 - Phone
- (954) 587-1008
- NPI assigned
- Oct 3, 2019
- Last updated
- May 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11004358 | FL | Primary |
Addresses
Primary practice location
3800 W Broward Blvd Ste 100
Fort Lauderdale, FL 33312-1018
Mailing address
3800 W Broward Blvd Ste 100
Fort Lauderdale, FL 33312-1018
Phone (954) 587-1008
Other practice location 1
4301 S Flamingo Rd Ste
Davie, FL 33330-1902
Phone (850) 605-8393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11004358 | Other | FL | ARNP LICENCE |
| 2019051804 | Other | FL | ANCC PSYCHIATRIC MENTAL HEALTH NURSE PRACTIONNER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11004358 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1265073928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 W BROWARD BLVD STE 100",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333121018",
"telephone_number": "954-587-1008",
"fax_number": "954-337-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 W BROWARD BLVD STE 100",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333121018",
"telephone_number": "954-587-1008"
}
],
"practiceLocations": [
{
"address_1": "4301 S Flamingo Rd Ste",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333301902",
"country_code": "US",
"telephone_number": "850-605-8393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAFOREST",
"first_name": "JUNIE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11004358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP LICENCE",
"identifier": "11004358",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC PSYCHIATRIC MENTAL HEALTH NURSE PRACTIONNER",
"identifier": "2019051804",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.