Fanette Prospere, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11012098 Issued in FL

Practice address

4740 N State Road 7 Ste 201
Lauderdale Lakes, FL 33319-5839

Phone

(954) 777-1612

NPI assigned

Mar 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fanette.prospere@521794035712004.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Author Health Professionals, PC

  • Psychiatry Physician
  • Miami, FL
  • NPI 1740897321

  TX

  Medicare reassignment Care Compare group NPD
• Prosperous Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Coconut Creek, FL
  • NPI 1194452631
  NPD Authorized official

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1760067268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 N STATE ROAD 7 STE 201",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195839",
            "telephone_number": "954-777-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSPERE",
        "first_name": "FANETTE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11012098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fprospere@hendersonbh.org",
            "affiliation": "N",
            "address_1": "4740 N State Road 7 Ste 201",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333195839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Primary Medical Care Center of Pompano Beach, Inc (Primary Medical Care Center)
• Prime Medical Rehab Center, Inc
• Prime Medical Rehab Center, Inc.
• Prime PT Services, Inc
• Priority Wellness Care Inc
• Prudent Pharmacy
• Yiliana Puerto, BCBA
• Alison Claire Puetz, MT-BC
• Elizabeth Pujols, ARNP
• Jaskaran Kaur Purewal, MD

• Psychiatric/Mental Health Nurse Practitioner in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.