Vandrea Lacson, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11005462 Issued in FL

Practice address

20814 W Dixie Hwy
Aventura, FL 33180-1147

Phone

(305) 933-8433

NPI assigned

Jan 28, 2020

Last updated

Dec 12, 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

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edelstein and Bustamante MDS PAGroup PAC ID 4789630773, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Edelstein & Bustamante M.D.'S, P.a.

  • Infectious Disease Physician
  • Aventura, FL
  • NPI 1184709644
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1295366326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20814 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801147",
            "telephone_number": "305-933-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20814 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801147",
            "telephone_number": "305-933-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACSON",
        "first_name": "VANDREA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11005462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayanne Kuttler, LCSW
• Melissa Y Kwan
• La Dulce Espera Maternity
• Elena La Puente Socorro, CSA
• Chase Carlos Labiste
• Harjeev Singh Lahil, MD
• Newsha Lajevardi, M.D.
• Jami Lynn Landen, PSY.D.
• Carolynn Elisabeth Landman, DMD, MSD
• Jaime Landman, MD

• Nurse Practitioner in Aventura, FL
• Providers in Aventura, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.