Active NPI
Nerlande Desinord, APRN
- Family Nurse Practitioner
- Lauderdale Lakes, FL
National Provider Identifier
1699341982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11009286
- Practice address
- 3998 NW 37TH Ter
Lauderdale Lakes, FL 33309-4807 - Phone
- (954) 643-1834
- NPI assigned
- May 27, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11009286 | FL | Primary |
Addresses
Primary practice location
3998 NW 37TH Ter
Lauderdale Lakes, FL 33309-4807
Mailing address
3998 NW 37TH Ter
Lauderdale Lakes, FL 33309-4807
Phone (954) 643-1834
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240402000395 | FL | Practitioner - Nurse Practitioner | 7911345582 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11009286 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Clinicians LLC | Family | Current | Accepting new patients |
| Medm LLC | Past | Accepting new patients |
Locations
3800 W Broward Blvd
Ste 101
Ft Lauderdale, FL 33312
Phone (954) 440-0983
406 E Vine St
Rm C
Kissimmee, FL 34744
Phone 9542710291201
4513 NW 31st Ave
Oakland Park, FL 33309
Phone (954) 496-2599
Interoperability endpoints
- https://api.platform.athenahealth.com/23897/brand/1/csg/1/fhir/r4
- nerlande.desinord.1@23897.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Oakland Park, FL
- NPI 1710739537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1699341982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 NW 37TH TER",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333094807",
"telephone_number": "954-643-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 NW 37TH TER",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333094807",
"telephone_number": "954-643-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESINORD",
"first_name": "NERLANDE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11009286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.