Fusion Mind & Body LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FUSION MIND & BODY LLC

Practice address

1500 NW 62ND St Ste 303
Fort Lauderdale, FL 33309-1850

Phone

(954) 951-2242

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Erika RegisNPI 1871856211

Title

Owner

Phone

(954) 951-2242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erika Regis

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakland Park, FL
  • NPI 1871856211
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1891568416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 62ND ST STE 303",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 62ND ST STE 303",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091850",
            "telephone_number": "954-951-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION MIND & BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-05",
        "status": "A",
        "authorized_official_last_name": "REGIS",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-951-2242"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander David Furer, OD
• Margaret Maria Furman, MD
• Felice D. Fusca, L.C.S.W.
• Josie Fusco, ARNP
• Fusion Dialysis PD LLC
• Future Focused Consulting LLC
• FXM Clinical Research Ft Lauderdale LLC
• G David Onstad MD PA
• G&S Pharmacy LLC.
• G4 Medical Centers, Inc

• Psychiatric/Mental Health Nurse Practitioner in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.