NOKOMIS NATAVIA LAZENBERRY
NPI 1154865038
Behavior Technician in St Augustine, FL
About Nokomis Natavia Lazenberry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOKOMIS NATAVIA LAZENBERRY (NPI 1154865038) is an individual behavior technician in St Augustine, Florida and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nokomis Natavia Lazenberry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Nokomis Lazenberry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Augustine, FL 32084
- Reassigned Medicare billing, Florida enrollment
- 4 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Florida enrollment
- 3,079 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Florida enrollment
- 281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nokomis Lazenberry's NPI number?
The NPI number for Nokomis Lazenberry is 1154865038. It was assigned to this individual provider in the NPPES registry on December 12, 2016.
Where is Nokomis Lazenberry located?
Nokomis Lazenberry practices at 2101 Arc Dr, St Augustine, FL 32084. The listed phone number is (904) 824-7249.
What is Nokomis Lazenberry's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
Is Nokomis Lazenberry enrolled in Medicare?
Yes. Nokomis Lazenberry is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nokomis Lazenberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nokomis Lazenberry reassigns Medicare benefits to 3 organizations: The Arc Of The St Johns, Inc. (St Augustine, FL), Grow Healthcare Group PA (Miami, FL) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nokomis Lazenberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nokomis Lazenberry accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Nokomis Lazenberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nokomis Lazenberry was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.