Individual provider Active NPI

Marlene Adesca, ARNP

  • Adult Health Nurse Practitioner
  • Lauderhill, FL
National Provider Identifier
1376895730
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9426132 Issued in FL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190304002432 FL Practitioner - Nurse Practitioner 2365788171 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9426132FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Community and Family Health Centers Inc CurrentSince Feb 19, 2019 Accepting new patients
Broward Community and Family Health Centers Inc CurrentSince Feb 19, 2019 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.

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

Verify at the official NPI Registry.