IVETTE FONSECA
NPI 1538989223
Nurse Practitioner - Psychiatric/Mental Health in Port St Lucie, FL

Active since October 16, 2024
1401 SE GOLDTREE DR STE 104, PORT ST LUCIE, FL 34952(772) 905-8531 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivette Fonseca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVETTE FONSECA (NPI 1538989223) is an individual psychiatric/mental health provider in Port St Lucie, Florida, licensed in Florida (11035828) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1538989223
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIVETTE FONSECA
Location Address1401 SE GOLDTREE DR STE 104Port St Lucie, FL 34952-7584
Mailing Address1401 Se Goldtree Dr Ste 104Port St Lucie, FL 34952-7584 · (772) 905-8531
Sole ProprietorNo
Enumeration DateOctober 16, 2024
Last NPPES UpdateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
NPI 1538989223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · 11035828
1401 SE GOLDTREE DR STE 104, Port St Lucie, FL 34952

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1401 SE GOLDTREE DR STE 104
PORT ST LUCIE, FL 34952

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 Ivette Fonseca's NPI number?

The NPI number for Ivette Fonseca is 1538989223. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Ivette Fonseca located?

Ivette Fonseca practices at 1401 SE Goldtree Dr Ste 104, Port St Lucie, FL 34952. The listed phone number is (772) 905-8531.

What is Ivette Fonseca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ivette Fonseca was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.