Deborah Alyce Ide, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP2875182 Issued in FL

Practice address

5420 NW 33Rd Ave
Ft Lauderdale, FL 33309-6348

Phone

(954) 486-4085

NPI assigned

Jan 14, 2013

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1780921528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8941 N LAKE DASHA DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243018",
            "telephone_number": "954-612-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 NW 33RD AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096348",
            "telephone_number": "954-486-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDE",
        "first_name": "DEBORAH",
        "middle_name": "ALYCE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2875182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Icarevip, Inc
• Denys Icart
• Ics Radiology, Inc.
• Ics Radiology, Inc.
• Id&WM LLC
• Ideal Life US Inc.
• Sapir Ifraimov
• Jon Igartua, M.D.
• Imuentiyan Igbinosun, PSYD
• Natalie Juliette Iglesias, LMHC

• Family Nurse Practitioner in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.