Individual provider Active NPI

Lonnie Henry Aschebrook, AP

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1760989750
Registry record updated Dec 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11004373 Issued in FL
Practice address
6900 Tavistock Lakes Blvd
Orlando, FL 32827-7589
Phone
(901) 376-5198
NPI assigned
Apr 7, 2018
Last updated
Dec 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3933FLMDChiropractor
11004373FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.