Individual provider Active NPI

Leriche Famius Louis

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1477967834
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9304174 Issued in FL
Practice address
2100 Nebraska Ave Ste 113
Fort Pierce, FL 34950-4831
Phone
(772) 465-9901
Fax
(772) 465-9870
NPI assigned
Jun 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9304174 FL Primary

Addresses

Primary practice location

2100 Nebraska Ave Ste 113
Fort Pierce, FL 34950-4831

Mailing address

2100 Nebraska Ave Ste 113
Fort Pierce, FL 34950-4831
Phone (772) 465-9901

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
I20141112001514 FL Practitioner - Nurse Practitioner 1456573195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2100 Nebraska Ave
Suite 113
Fort Pierce, FL 34950-4831
Phone (772) 465-9901

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Care Leaders-Florida LLC CurrentSince Jul 26, 2019 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Jun 5, 2015 Accepting new patients
Dwight G. a. Dawkins, MD, PA CurrentSince Oct 3, 2014 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
LFC Family Home Health Solutions Inc Family CurrentSince Jan 1, 2018 Accepting new patients

Locations

2100 Nebraska Ave
Ste 201
Fort Pierce, FL 34950
Phone (772) 461-1191

2100 Nebraska Ave
Ste 113
Fort Pierce, FL 34950
Phone (772) 460-0321

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

1801 SE Hillmoor Dr
Ste B-109
Port St Lucie, FL 34952
Phone (772) 236-4409

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

925 North Point Pkwy
Ste 425
Alpharetta, GA 30005
Phone (678) 593-3332

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGDCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGDCD/Endpoint/IBGDCD

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1477967834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE STE 113",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504831",
            "telephone_number": "772-465-9901",
            "fax_number": "772-465-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE STE 113",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504831",
            "telephone_number": "772-465-9901",
            "fax_number": "772-465-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "LERICHE",
        "middle_name": "FAMIUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9304174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.