Individual provider Active NPI

Debra Ann Cherry-Lederman, ARNP

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1912942186
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9377208 Issued in FL
Practice address
1025 SW 1St Ave
Suite 100
Ocala, FL 34471-0900
Phone
(352) 732-6599
Fax
(352) 732-4816
NPI assigned
Jun 19, 2006
Last updated
Jun 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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 R0064869 OK
Family Nurse Practitioner 363LF0000X ARNP9377208 FL Primary

Addresses

Primary practice location

1025 SW 1St Ave
Suite 100
Ocala, FL 34471-0900

Mailing address

1025 SW 1St Ave
Ocala, FL 34471-0900
Phone (352) 732-6599

Other identifiers 2

IdentifierTypeStateIssuer
200041370AMedicaidOK
010924600MedicaidFL

Other names 1

  • Debra Ann Cherry-Lederman Other name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9377208FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rediclinic LLC Past Accepting new patients
Claremore Internal Medicine, LLC Past Accepting new patients
Radiation Oncology Services Inc Past Accepting new patients
Claremore Physicians LLC Past Accepting new patients

Organizations & group practices 4

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1912942186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710900",
            "telephone_number": "352-732-6599",
            "fax_number": "352-732-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SW 1ST AVE",
            "address_2": "SUITE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710900",
            "telephone_number": "352-732-6599",
            "fax_number": "352-732-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY-LEDERMAN",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "R0064869",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9377208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200041370A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010924600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "CHERRY-LEDERMAN",
            "middle_name": "ANN",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.