Individual provider Active NPI

Chelsie Marie Fletcher, APRN

  • Gerontology Nurse Practitioner
  • Hudson, FL
National Provider Identifier
1740048461
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11031616 Issued in FL
Practice address
13908 Lakeshore Blvd Ste 250
Hudson, FL 34667-1492
Phone
(727) 471-5882
Fax
(727) 471-6112
NPI assigned
Mar 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN9504356 FL
Gerontology Nurse Practitioner 363LG0600X APRN11031616 FL Primary

Addresses

Primary practice location

13908 Lakeshore Blvd Ste 250
Hudson, FL 34667-1492

Mailing address

5400 Pinehurst Dr
Spring Hill, FL 34606-3833
Phone (352) 277-5348

Other practice location 1

8607 Easthaven Ct Ste 102
New Port Richey, FL 34655-5217
Phone (727) 471-5882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11031616FLMDGerontology Nurse Practitioner
RN9504356FLMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1740048461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 PINEHURST DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346063833",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13908 LAKESHORE BLVD STE 250",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671492",
            "telephone_number": "727-471-5882",
            "fax_number": "727-471-6112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8607 Easthaven Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346555217",
            "country_code": "US",
            "telephone_number": "727-471-5882",
            "fax_number": "727-471-6112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "CHELSIE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "RN9504356",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11031616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.