Individual provider Active NPI

Courtney Lace Abramovitz, APRN

  • Family Nurse Practitioner
  • Windermere, FL
National Provider Identifier
1386479582
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11026596 Issued in FL
Practice address
11600 Lakeside Village LN
Windermere, FL 34786-7024
Phone
(407) 876-2273
NPI assigned
Sep 6, 2024
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11026596 FL Primary

Addresses

Primary practice location

11600 Lakeside Village LN
Windermere, FL 34786-7024

Mailing address

11600 Lakeside Village LN
Windermere, FL 34786-7024
Phone (407) 876-2273

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
I20241030002469 FL Practitioner - Nurse Practitioner 1658804513 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11026596FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

7300 Sandlake Commons Blvd
Ste 304
Orlando, FL 32819
Phone (407) 236-6558

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

11600 Lakeside Village Ln
Windermere, FL 34786
Phone (407) 876-2273

Organizations & group practices 1

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": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1386479582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 LAKESIDE VILLAGE LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867024",
            "telephone_number": "407-876-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 LAKESIDE VILLAGE LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867024",
            "telephone_number": "407-876-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMOVITZ",
        "first_name": "COURTNEY",
        "middle_name": "LACE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.