Fatima Marie Labrousse, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11010243 Issued in FL

Practice address

8405 Bonita Isle Dr
Lake Worth, FL 33467-5530

Phone

(561) 703-4590

NPI assigned

Dec 2, 2020

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1760087266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 BONITA ISLE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675530",
            "telephone_number": "561-703-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 BONITA ISLE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675530",
            "telephone_number": "561-703-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABROUSSE",
        "first_name": "FATIMA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11010243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kushner, PT
• Simone Kushnirsky, OTR/L
• L.L.&R.'S Stepping Stones, LLC
• Mabel Maria La Coba de Leon
• Memphis Labrada
• Loodjhinssy Lafaille-Paul, OTR/L
• Elisa Helen Lafavor, D.C.
• Noel Lafratta, BCABA, BCBA
• Kristie Marie Lagalante, DMD
• Karese Laguerre, RDH

• Gerontology Nurse Practitioner in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.

Verify at the official NPI Registry.