Active NPI
Lorriel Sirena Blaise, NP-C
- Family Nurse Practitioner
- Ocoee, FL
National Provider Identifier
1396914784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9179953
- Practice address
- 2723 Maguire Rd
Ocoee, FL 34761-4797 - Phone
- (407) 877-7003
- NPI assigned
- Feb 29, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9179953 | FL | Primary |
Addresses
Primary practice location
2723 Maguire Rd
Ocoee, FL 34761-4797
Mailing address
2723 Maguire Rd
Ocoee, FL 34761-4797
Phone (407) 877-7003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9179953 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1396914784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2723 MAGUIRE RD",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614797",
"telephone_number": "407-877-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2723 MAGUIRE RD",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614797",
"telephone_number": "407-877-7003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAISE",
"first_name": "LORRIEL",
"middle_name": "SIRENA",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9179953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.