Active NPI
Lacinda Lou O'Steen, ARNP FNP
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP2159272
- Practice address
- 12795 San Jose Blvd Ste 9
Jacksonville, FL 32223-8676 - Phone
- (904) 265-4777
- NPI assigned
- May 26, 2016
- 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 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | RN2159272 | FL | |
| Case Management Registered Nurse | 163WC0400X | RN2159272 | FL | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | RN2159272 | FL | |
| Diabetes Educator Registered Nurse | 163WD0400X | RN2159272 | FL | |
| Home Health Registered Nurse | 163WH0200X | RN2159272 | FL | |
| Hospice Registered Nurse | 163WH1000X | RN2159272 | NC | |
| Infection Control Registered Nurse | 163WI0600X | RN2159272 | FL | |
| Medical-Surgical Registered Nurse | 163WM0705X | RN2159272 | FL | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN2159272 | FL | |
| Health Educator | 174H00000X | FL | ||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | RN2159272 | FL | |
| Family Nurse Practitioner | 363LF0000X | RN2313010 | MA | |
| Women's Health Nurse Practitioner | 363LW0102X | A4M | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP2159272 | FL | Primary |
Addresses
Primary practice location
12795 San Jose Blvd Ste 9
Jacksonville, FL 32223-8676
Mailing address
353 N Sea Lake LN
Ponte Vedra Beach, FL 32082-4756
Phone (386) 965-7066
Other practice location 1
4800 Deerwood Campus Pkwy
Bldg 300, 1st Floor
Jacksonville, FL 32246-6498
Phone (904) 905-5022
Other practice location 2
45 Dimock St
Roxbury, MA 02119-1208
Phone (617) 442-8800
Other practice location 3
88 Old Town Road
New York, NY 10301
Phone (718) 407-2916
Other practice location 4
353 N Sea Lake Ln
Ponte Vedra Beach, FL 32082-4756
Phone (386) 965-7066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01801192 | Other | FL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2159272 | NC | MD | Hospice Registered Nurse |
| RN2159272 | FL | MD | Infection Control Registered Nurse |
| 341244 | NY | MD | Licensed Practical Nurse |
| A4M | FL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FM Medical Urgent Care, Inc. | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Convenientmd LLC | Past | Accepting new patients |
Locations
3560 A1A S
St Augustine Beach, FL 32080
Phone (904) 584-2273
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
55 Water St
Fl 2
New York, NY 10041
Interoperability endpoints
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
Organizations & group practices 4
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.
-
dba AdvantageCare Physicians
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Urgent Care Clinic/Center
- St Augustine, FL
- NPI 1053790246
-
dba AdvantageCare Physicians Urgent Care
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Urgent Care Clinic/Center
- Newburyport, MA
- NPI 1316428824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1477901866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 N SEA LAKE LN",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320824756",
"telephone_number": "386-965-7066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12795 SAN JOSE BLVD STE 9",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238676",
"telephone_number": "904-265-4777"
}
],
"practiceLocations": [
{
"address_1": "4800 Deerwood Campus Pkwy",
"address_2": "Bldg 300, 1st Floor",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322466498",
"country_code": "US",
"telephone_number": "904-905-5022",
"fax_number": "904-905-5044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45 Dimock St",
"address_purpose": "LOCATION",
"city": "Roxbury",
"state": "MA",
"postal_code": "021191208",
"country_code": "US",
"telephone_number": "617-442-8800",
"fax_number": "617-541-8472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "88 OLD TOWN ROAD",
"address_purpose": "LOCATION",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10301",
"country_code": "US",
"telephone_number": "718-407-2916",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "353 N Sea Lake Ln",
"address_purpose": "LOCATION",
"city": "Ponte Vedra Beach",
"state": "FL",
"postal_code": "320824756",
"country_code": "US",
"telephone_number": "386-965-7066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'STEEN",
"first_name": "LACINDA",
"middle_name": "LOU",
"credential": "ARNP FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-26",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "FL",
"license": "RN2159272",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "FL",
"license": "RN2159272",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "FL",
"license": "RN2159272",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "FL",
"license": "RN2159272",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "FL",
"license": "RN2159272",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "NC",
"license": "RN2159272",
"primary": false
},
{
"code": "163WI0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infection Control",
"state": "FL",
"license": "RN2159272",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "FL",
"license": "RN2159272",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "FL",
"license": "RN2159272",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": "FL",
"license": "RN2159272",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2313010",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "A4M",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP2159272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01801192",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.