Active NPI
Debra Lee Sicilian, APRN
- Nurse Practitioner
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11001584
- Practice address
- 2327 Jeffcott St
Fort Myers, FL 33901-5211 - Phone
- (239) 246-8967
- NPI assigned
- Feb 22, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11001584 | FL | Primary |
Addresses
Primary practice location
2327 Jeffcott St
Fort Myers, FL 33901-5211
Mailing address
58 Deforest Dr
N Branford, CT 06471-1258
Phone (239) 246-8967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|
| 11001584 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Behavioral Health Assoc, P.C. | Current | Accepting new patients | |
| Impact Health Psych PC | Current | Accepting new patients | |
| Harvest Healthcare LLC | Nurse Practitioner | Current | Accepting new patients |
| Impact Health P.C. | Nurse Practitioner | Current | Accepting new patients |
Locations
21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182
2969 Whitney Ave
Hamden, CT 06518
Phone (203) 691-7634
41 Faire Harbour Pl
New London, CT 06320
Phone (860) 437-6914
14 Westport Ave
Norwalk, CT 06851
Phone (203) 497-3867
240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867
240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New London, CT
- NPI 1629158126
-
- Nurse Practitioner
- Orange, CT
- NPI 1730694316
-
- Psychiatric/Mental Health Nurse Practitioner
- Orange, CT
- NPI 1730781022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1386101798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 DEFOREST DR",
"city": "N BRANFORD",
"state": "CT",
"postal_code": "064711258",
"telephone_number": "239-246-8967",
"fax_number": "203-742-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2327 JEFFCOTT ST",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339015211",
"telephone_number": "239-246-8967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICILIAN",
"first_name": "DEBRA",
"middle_name": "LEE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11001584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.