Individual provider Active NPI

Debra Lee Michaud, APRN

  • Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1780768127
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2726452 Issued in FL
Practice address
2500 Citrus Blvd
Leesburg, FL 34748-3063
Phone
(135) 234-7522
Fax
(352) 347-1073
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 570366-1 NY
Registered Nurse 163W00000X 41-352070 IL
Registered Nurse 163W00000X 44325 NV
Registered Nurse 163W00000X 631932 CA
Nurse Practitioner 363L00000X F334865-1 NY
Family Nurse Practitioner 363LF0000X APRN2726452 FL
Family Nurse Practitioner 363LF0000X ARNP2726452 FL
Nurse Practitioner 363L00000X 2726452 FL Primary

Addresses

Primary practice location

2500 Citrus Blvd
Leesburg, FL 34748-3063

Mailing address

26804 River Watch CT
Leesburg, FL 34748-1288
Phone (352) 326-8594

Other practice location 1

1800 E Highway 50
Clermont, FL 34711-1914
Phone (866) 389-2727

Other names 1

  • Debra Lee Proulx Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140613000398 FL Practitioner - Nurse Practitioner 1456348200 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
631932CAMDRegistered Nurse
41-352070ILMDRegistered Nurse
44325NVMDRegistered Nurse
570366-1NYMDRegistered Nurse
2726452FLMDNurse Practitioner
F334865-1NYMDNurse Practitioner
APRN2726452FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Express Care of Belleview, LLC CurrentSince May 2, 2022 Accepting new patients
Express Care of Belleview, LLC CurrentSince May 2, 2022 Accepting new patients

Locations

10762 SE US Highway 441
Belleview, FL 34420
Phone (352) 346-5225

2500 Citrus Blvd
Leesburg, FL 34748
Phone (352) 347-5225

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61486

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1780768127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26804 RIVER WATCH CT",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347481288",
            "telephone_number": "352-326-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CITRUS BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483063",
            "telephone_number": "135-234-7522",
            "fax_number": "352-347-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Highway 50",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111914",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "DEBRA",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "570366-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "41-352070",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "44325",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "631932",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F334865-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2726452",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2726452",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2726452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "PROULX",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.