Individual provider Active NPI

Lacinda Lou O'Steen, ARNP FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1477901866
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2159272 Issued in FL
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

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01801192OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191212001230 NY Practitioner - Nurse Practitioner 4486941648 Reassigns benefits to 1 organization
I20210216002730 ME Practitioner - Nurse Practitioner 4486941648

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2159272NCMDHospice Registered Nurse
RN2159272FLMDInfection Control Registered Nurse
341244NYMDLicensed Practical Nurse
A4MFLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FM Medical Urgent Care, Inc. CurrentSince Jul 17, 2022 Accepting new patients
Advantagecare Physicians PC CurrentSince Dec 2, 2019 Accepting new patients
Advantagecare Physicians PC CurrentSince Dec 2, 2019 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.