Active NPI
Marlene Adesca, ARNP
- Adult Health Nurse Practitioner
- Lauderhill, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN9426132
- Practice address
- 1295 NW 40TH Ave Ste 200
Lauderhill, FL 33313-5801 - Phone
- (954) 583-4710
- Fax
- (954) 967-8141
- NPI assigned
- Oct 10, 2012
- Last updated
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN9426132 | FL | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | APRN9426132 | FL |
Addresses
Primary practice location
1295 NW 40TH Ave Ste 200
Lauderhill, FL 33313-5801
Mailing address
1229 NW 40TH Ave Apt 4a
Lauderhill, FL 33313-5801
Phone (954) 583-4710
Other practice location 1
3710 SW 61st Ave Apt 4A
Davie, FL 33314-2556
Phone (954) 200-3255
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 |
|---|---|---|---|
| APRN9426132 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broward Community and Family Health Centers Inc | Current | Accepting new patients | |
| Broward Community and Family Health Centers Inc | Current | Accepting new patients |
Locations
5010 Hollywood Blvd
Hollywood, FL 33021
5010 Hollywood Blvd
Ste 100B
Hollywood, FL 33021
Phone (954) 967-0028
1229 NW 40th Ave
Apt 4A
Lauderhill, FL 33313
1295 NW 40th Ave
#200
Lauderhill, FL 33313
Phone (954) 583-4710
168 N Powerline Rd
Pompano Beach, FL 33069
Phone (954) 633-0023
5800 W Hallandale Beach Blvd
West Park, FL 33023
Phone (954) 966-3939
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Hollywood, FL
- NPI 1730121435
-
- Federally Qualified Health Center (FQHC)
- Hollywood, FL
- NPI 1346094984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1376895730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 NW 40TH AVE APT 4A",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333135801",
"telephone_number": "954-583-4710",
"fax_number": "954-583-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 NW 40TH AVE STE 200",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333135801",
"telephone_number": "954-583-4710",
"fax_number": "954-967-8141"
}
],
"practiceLocations": [
{
"address_1": "3710 SW 61st Ave Apt 4A",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333142556",
"country_code": "US",
"telephone_number": "954-200-3255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADESCA",
"first_name": "MARLENE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-10",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN9426132",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN9426132",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.