Individual provider Active NPI

Marie Maude Fleurimond, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1295877736
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2619062 Issued in FL
Practice address
2724 N Hiawassee Rd Ste 100
Orlando, FL 32818-3008
Phone
(407) 906-0082
Fax
(407) 604-2606
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 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 RN2619062 FL
Family Nurse Practitioner 363LF0000X ARNP2619062 FL Primary

Addresses

Primary practice location

2724 N Hiawassee Rd Ste 100
Orlando, FL 32818-3008

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (407) 906-0082

Other practice location 1

525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Phone (407) 647-2346 ext. 129

Other identifiers 2

IdentifierTypeStateIssuer
021328600MedicaidFL
Y07L7OtherFLBCBS

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

LicenseStateTypeSpecialty
ARNP2619062FLMDFamily Nurse Practitioner
RN2619062FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Inpatient Medicine LLC Current Accepting new patients
Dedicated Senior Medical Center of Florida, LLC PastSince Dec 12, 2021 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC PastSince Dec 12, 2021 Accepting new patients

Locations

917 Rinehart Rd
Ste 1051
Lake Mary, FL 32746
Phone (407) 562-9170

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

Interoperability endpoints

  • Direct secure messaging: marie.fleurimond@171227163852804.direct.elationemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1295877736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "407-906-0082",
            "fax_number": "407-604-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 N HIAWASSEE RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183008",
            "telephone_number": "407-906-0082",
            "fax_number": "407-604-2606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Technology Park Ste 109",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327467107",
            "country_code": "US",
            "telephone_number": "407-647-2346 x129",
            "fax_number": "407-647-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEURIMOND",
        "first_name": "MARIE",
        "middle_name": "MAUDE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN2619062",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2619062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021328600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y07L7",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.