Active NPI
Bertilda Isabel Harvey
- Case Manager/Care Coordinator
- Leesburg, FL
National Provider Identifier
1689979718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 913 Lee St
Leesburg, FL 34748-4310 - Phone
- (352) 874-5646
- Fax
- (352) 326-8177
- NPI assigned
- Jan 20, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | FL | Primary |
Addresses
Primary practice location
913 Lee St
Leesburg, FL 34748-4310
Mailing address
913 Lee St
Leesburg, FL 34748-4310
Phone (352) 874-5646
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 676209368 | Other | MEDICAID WAIVER - CONSUMER DIRECTED CARE PLUS | |
| 676209396 | Other | FL | MEDICAID WAIVER - HOME AND COMMUNITY BASED SERVICES. |
| 676209398 | Other | MEDICAID WAIVER - FAMILY SUPPORTED LIVING WAIVER |
Other names 1
- Ms. Bertilda Isabel Harvey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1689979718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 LEE ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347484310",
"telephone_number": "352-874-5646",
"fax_number": "352-326-8177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 LEE ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347484310",
"telephone_number": "352-874-5646",
"fax_number": "352-326-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "BERTILDA",
"middle_name": "ISABEL",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WAIVER - CONSUMER DIRECTED CARE PLUS",
"identifier": "676209368",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WAIVER - HOME AND COMMUNITY BASED SERVICES.",
"identifier": "676209396",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WAIVER - FAMILY SUPPORTED LIVING WAIVER",
"identifier": "676209398",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BERTILDA",
"last_name": "HARVEY",
"middle_name": "ISABEL",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.