Individual provider Active NPI

Carlesa Desir, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1477857621
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9246168 Issued in FL
Practice address
10450 Turkey Lake Rd
#691483
Orlando, FL 32869-7501
Phone
(407) 230-2108
NPI assigned
Jan 3, 2011
Last updated
Nov 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN9246168 FL
Family Nurse Practitioner 363LF0000X APRN9246168 FL
Gerontology Nurse Practitioner 363LG0600X APRN9246168 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9246168 FL Primary

Addresses

Primary practice location

10450 Turkey Lake Rd
#691483
Orlando, FL 32869-7501

Mailing address

10450 Turkey Lake Rd
#691483
Orlando, FL 32869-7501
Phone (407) 230-2108

Other identifiers 2

IdentifierTypeStateIssuer
ARNP9246168OtherFLLICENSE
1477857621OtherFLNPI

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
I20110215000997 FL Practitioner - Nurse Practitioner 5890975338 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9246168FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Psychiatry LLC Psychiatric/Mental Health CurrentSince Dec 10, 2023 Accepting new patients
Aspire Health Partners, Inc. CurrentSince Apr 18, 2023 Accepting new patients
Obt Family Medical Clinic Past Accepting new patients

Locations

788 Montgomery Ave
Ocoee, FL 34761
Phone (352) 782-2449

10450 Turkey Lake Rd
Unit 691483
Orlando, FL 32869
Phone (407) 230-2108

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

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, 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": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1477857621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 TURKEY LAKE RD",
            "address_2": "#691483",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328697501",
            "telephone_number": "407-230-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 TURKEY LAKE RD",
            "address_2": "#691483",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328697501",
            "telephone_number": "407-230-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIR",
        "first_name": "CARLESA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9246168",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9246168",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9246168",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9246168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ARNP9246168",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477857621",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.