Individual provider Active NPI

Lyonel A. Jean-Baptiste, M.D.

  • Family Medicine Physician
  • Moore Haven, FL
National Provider Identifier
1457320681
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME64440 Issued in FL
Practice address
1021 Health Park Dr
Moore Haven, FL 33471-6206
Phone
(863) 946-0405
Fax
(844) 542-8959
NPI assigned
Mar 17, 2006
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME64440 FL Primary

Addresses

Primary practice location

1021 Health Park Dr
Moore Haven, FL 33471-6206

Mailing address

1021 Health Park Dr
Moore Haven, FL 33471-6206
Phone (863) 946-0405

Other identifiers 2

IdentifierTypeStateIssuer
373638500MedicaidFL
23712OtherFLBCBS PROVIDER #

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000395 FL Practitioner - Family Practice 6901978535 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Community Health Centers, Inc. Family Medicine CurrentSince Nov 30, 2021 Accepting new patients
Florida Community Health Centers Inc Family Medicine Current Accepting new patients
Florida Department of Health CurrentSince May 31, 2019 Accepting new patients
Florida Department of Health CurrentSince May 31, 2019 Accepting new patients
Florida Community Health Centers Inc Family Medicine Current Accepting new patients
Florida Community Health Centers Inc CurrentSince Nov 30, 2021 Accepting new patients
Florida Community Health Centers Inc Family Medicine Current Accepting new patients
Florida Community Health Centers Inc Family Medicine Current Accepting new patients
Florida Community Health Centers, Inc. Family Medicine Past Accepting new patients
JBS Diagnostics, LLC PastSince May 25, 2019 Accepting new patients

Locations

315 S W C Owen Ave
Clewiston, FL 33440
Phone (561) 996-9573

1505 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 461-1140

15858 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 597-3596

1250 Southwinds Dr
Lantana, FL 33462
Phone (561) 547-6800

1021 Health Park Dr
Moore Haven, FL 33471
Phone (863) 946-0405

1100 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 763-1951

1150 45th St
West Palm Beach, FL 33407
Phone (561) 514-5300

5827 Corporate Way
West Palm Beach, FL 33407
Phone (561) 844-9443

800 Clematis St
West Palm Beach, FL 33401
Phone (561) 837-5560

Interoperability endpoints

  • Direct secure messaging: lyonel.jean-baptiste.1@20200.direct.athenahealth.com

Organizations & group practices 10

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1457320681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 HEALTH PARK DR",
            "city": "MOORE HAVEN",
            "state": "FL",
            "postal_code": "334716206",
            "telephone_number": "863-946-0405",
            "fax_number": "844-542-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 HEALTH PARK DR",
            "city": "MOORE HAVEN",
            "state": "FL",
            "postal_code": "334716206",
            "telephone_number": "863-946-0405",
            "fax_number": "844-542-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-BAPTISTE",
        "first_name": "LYONEL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME64440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373638500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "23712",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore Haven, FL

Sources for this page

Verify at the official NPI Registry.