Individual provider Active NPI

Brenda Lagares, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1710537212
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11045130 Issued in FL
Practice address
89 Bartlett St
Brooklyn, NY 11206-4463
Phone
(718) 387-8181
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 359156 NY
Registered Nurse 163W00000X 777408 NY
Critical Care Medicine Nurse Practitioner 363LC0200X 11045130 FL
Family Nurse Practitioner 363LF0000X 359156 NY
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11045130 FL Primary
Nurse Practitioner 363L00000X 11045130 FL

Addresses

Primary practice location

89 Bartlett St
Brooklyn, NY 11206-4463

Mailing address

3609 Broadway Apt 3J
New York, NY 10031-3235
Phone (646) 532-7916

Other practice location 1

1834 SW 1st Ave Ste 101
Ocala, FL 34471-8101
Phone (352) 732-5552

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
I20260426000010 FL Practitioner - Nurse Practitioner 1951878008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1834 SW 1St Ave
Suite 101
Ocala, FL 34471-8101

3609 Broadway
Apt 3J
New York, NY 10031-3222

8260 W Flager St
Suite 2 I
Miami, FL 33144-2069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
777408NYMDRegistered Nurse
11045130FLMDNurse Practitioner
359156NYMDFamily Nurse Practitioner

Organizations & group practices 3

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1710537212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 BROADWAY APT 3J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313235",
            "telephone_number": "646-532-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 BARTLETT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064463",
            "telephone_number": "718-387-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1834 SW 1st Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344718101",
            "country_code": "US",
            "telephone_number": "352-732-5552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGARES",
        "first_name": "BRENDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "359156",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "777408",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "11045130",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "359156",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11045130",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11045130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.