Active NPI
Fabiola Juste
- Gerontology Nurse Practitioner
- Orlando, FL
National Provider Identifier
1306543657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AG02230031
- Practice address
- 5511 Lighthouse Rd
Orlando, FL 32808-5956 - Phone
- (407) 334-3918
- NPI assigned
- Feb 7, 2023
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AG02230031 | FL | Primary |
Addresses
Primary practice location
5511 Lighthouse Rd
Orlando, FL 32808-5956
Mailing address
5511 Lighthouse Rd
Orlando, FL 32808-5956
Phone (407) 334-3918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG02230031 | Other | FL | AANP |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG02230031 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rmed LLC | Single Specialty | Current | Accepting new patients |
| Harmonycares Complete Health Services, PLLC | Single Specialty | Current | Accepting new patients |
| Rmed LLC | Single Specialty | Current | Accepting new patients |
Locations
2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029
8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137
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.
-
- Family Medicine Physician
- Jackson, MS
- NPI 1093543902
FL, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1306543657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5511 LIGHTHOUSE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328085956",
"telephone_number": "407-334-3918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5511 LIGHTHOUSE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328085956",
"telephone_number": "407-334-3918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTE",
"first_name": "FABIOLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "AG02230031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP",
"identifier": "AG02230031",
"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 Feb 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.