Active NPI
Lonnie Henry Aschebrook, AP
- Adult Health Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 11004373
- Practice address
- 6900 Tavistock Lakes Blvd
Orlando, FL 32827-7589 - Phone
- (901) 376-5198
- NPI assigned
- Apr 7, 2018
- Last updated
- Dec 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11004373 | FL | Primary |
| Acupuncturist | 171100000X | 3933 | FL |
Addresses
Primary practice location
6900 Tavistock Lakes Blvd
Orlando, FL 32827-7589
Mailing address
9246 Reymont St
Orlando, FL 32827-3814
Phone (407) 274-3789
Other practice location 1
1700 13th St # 101
Saint Cloud, FL 34769-4300
Phone (407) 274-3789
Other practice location 2
Perfect Form Center for Wellness & Antiaging
145 Avenue G SW
Winter Haven, FL 33880
Phone (863) 299-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3933 | FL | MD | Chiropractor |
| 11004373 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lonnie Aschebrook Acupuncture LLC | Acupuncturist | Current | Accepting new patients |
| Thrive IHS Integrative Health Services, LLC | Multi-Specialty | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Health Nurse Practitioner
- Orlando, FL
- NPI 1124598727
Acupuncturist
-
- Clinical Social Worker
- Orlando, FL
- NPI 1396216891
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577491200000",
"number": "1760989750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9246 REYMONT ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328273814",
"telephone_number": "407-274-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 TAVISTOCK LAKES BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277589",
"telephone_number": "901-376-5198"
}
],
"practiceLocations": [
{
"address_1": "1700 13th St # 101",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "FL",
"postal_code": "347694300",
"country_code": "US",
"telephone_number": "407-274-3789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Perfect Form Center for Wellness & Antiaging",
"address_2": "145 Avenue G SW",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "33880",
"country_code": "US",
"telephone_number": "863-299-9111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASCHEBROOK",
"first_name": "LONNIE",
"middle_name": "HENRY",
"credential": "AP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-07",
"last_updated": "2019-12-28",
"certification_date": "2019-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "11004373",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "3933",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.