Individual provider Active NPI

Fernando Alfredo Laracuente, APRN

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Hallandale Beach, FL
National Provider Identifier
1407378128
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X
License
APRN9361022 Issued in FL
Practice address
1250 E Hallandale Beach Blvd Ste 1004
Hallandale Beach, FL 33009-4636
Phone
(954) 451-1743
Fax
(954) 838-5336
NPI assigned
Jul 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9361022 FL
Family Nurse Practitioner 363LF0000X 343196 NY
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0810X APRN9361022 FL Primary

Addresses

Primary practice location

1250 E Hallandale Beach Blvd Ste 1004
Hallandale Beach, FL 33009-4636

Mailing address

1250 E Hallandale Beach Blvd Ste 1004
Hallandale Beach, FL 33009-4636
Phone (954) 451-1743

Other identifiers 1

IdentifierTypeStateIssuer
110940700MedicaidFL

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
I20210901002616 FL Practitioner - Nurse Practitioner 4587060447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1250 E Hallandale Beach Blvd
Suite 1004
Hallandale Beach, FL 33009-4636
Phone (954) 451-1743

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
343196NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lha Care Corporation Multi-Specialty CurrentSince Sep 28, 2025 Accepting new patients
Neurology Consultants of South Florida Inc Past Accepting new patients

Locations

1250 E Hallandale Beach Blvd
Ste 1004
Hallandale Beach, FL 33009
Phone (954) 451-1743

Interoperability endpoints

  • Direct secure messaging: fernando@lhealthcare.kareodirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1407378128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD STE 1004",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094636",
            "telephone_number": "954-451-1743",
            "fax_number": "954-838-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD STE 1004",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094636",
            "telephone_number": "954-451-1743",
            "fax_number": "954-838-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARACUENTE",
        "first_name": "FERNANDO",
        "middle_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9361022",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343196",
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "FL",
            "license": "APRN9361022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110940700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.