Adair Lynne Deicke

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

941812 Issued in FL

Practice address

2740 Coconut Bay LN Unit 3G
Sarasota, FL 34237-3055

Phone

(727) 239-9938

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, MA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of South Florida College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22051/brand/1/csg/1/fhir/r4
• Direct secure messaging: adair.deicke.1@22051.direct.athenahealth.com

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.

• Advanced Behavioral Clinicians, LLC

  dba Advancd behavioral Clinicians

  • Family Nurse Practitioner
  • Sarasota, FL
  • NPI 1639793326
  Medicare reassignment NPD Authorized official
• Child & Family Services, Inc.

  • Mental Health Counselor
  • New Bedford, MA
  • NPI 1205813540
  Medicare reassignment NPD
• Advanced Behavioral Clinicians

  dba Adair Deicke

  • Psychiatric/Mental Health Nurse Practitioner
  • Sarasota, FL
  • NPI 1134741218
  NPD (past) Authorized official
• Family Preservation Services

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1972808871
  NPD (past)
• Manuel Gallego MD PA

  • Counseling Psychologist
  • Port Charlotte, FL
  • NPI 1821213323
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1922185628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 COCONUT BAY LN UNIT 3G",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342373055",
            "telephone_number": "727-239-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 COCONUT BAY LN UNIT 3G",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342373055",
            "telephone_number": "727-239-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEICKE",
        "first_name": "ADAIR",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "0941812",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "941812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303680400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dees Family Chiropractic Inc. (Dees Integrative Health)
• Terri Anne Dees, D.C
• Amanda Marie Defoor, CRNA
• Jean M Deguia, MD
• Richard Irvin Deibert, MD
• Ksenia Deishl-Gaines
• Carole Ann Deitchman, PHD, BCBA
• Alexander Dejesus, M.D.
• Vanessa Eleanor Del Mastro, APRN
• Louise Susan Del Negro, DO

• Psychiatric/Mental Health Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, 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 Sep 28, 2020; 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.