Isabel Segura Dedrick

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9306038 Issued in FL

Practice address

840 S Bea Ave FL 34452
Inverness, FL 34452-3603

Phone

(352) 637-6300

NPI assigned

Nov 27, 2019

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physicians of Mid Florida LLC

  • Family Medicine Physician
  • Wesley Chapel, FL
  • NPI 1366992463

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1790321586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S BEA AVE FL 34452",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344523603",
            "telephone_number": "352-637-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S BEA AVE FL 34452",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344523603",
            "telephone_number": "352-637-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDRICK",
        "first_name": "ISABEL",
        "middle_name": "SEGURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9306038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Christopher Day, OD
• Denisse Camille Marcos Dayto, MD
• Riccardo M De Girolami, M. D.
• Debbie Dodge, LLC
• Lauren Debusk, MD
• Carrie Deering, LLPC, LLMFT, NCC
• Servillano Dela Cruz Jr., M.D.
• Alysandra K Deleon
• Luis A Delfin, MD
• Michael Robert Denney, MD

• Family Nurse Practitioner in Inverness, FL
• Providers in Inverness, 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 Nov 27, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.