Jayson Shane Ledford, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN95991102 Issued in FL

Practice address

3101 Port Royale Blvd Apt 1034
Fort Lauderdale, FL 33308-7920

Phone

(786) 879-9617

NPI assigned

Jan 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1396458501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 PORT ROYALE BLVD APT 1034",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087920",
            "telephone_number": "786-879-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PORT ROYALE BLVD APT 1034",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087920",
            "telephone_number": "786-879-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "JAYSON",
        "middle_name": "SHANE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN95991102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaledford@mhs.net",
            "affiliation": "Y",
            "affiliationName": "Joe DiMaggio Children's Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3501 Johnson St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cos Sur)
• Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Surgery)
• Brenda Lebada
• Irene Leblanc
• Michael Leboe
• Bianca Raquel Buto Ledwidge, MSN, DNP
• Lee J. Alexander, DMD
• Causey C. Lee Jr., D.D.S., P.A.
• Christian Alfonso Lee, CAA
• David Lee, APRN, FNP-BC

• Registered Nurse in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.