Ingrid Laurinaitis, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601004336 Issued in MI

Practice address

1361 13TH Ave S
Suite 170a
Jacksonville Beach, FL 32250

Phone

(904) 249-4456

Fax

(904) 249-7703

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurology Associates of North Florida , Inc

  • Neurology Physician
  • Jacksonville Beach, FL
  • NPI 1104863042
  Medicare reassignment
• North Florida Medical Clinic Inc

  • Internal Medicine Physician
  • Jacksonville Beach, FL
  • NPI 1639126907
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1003867656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S",
            "address_2": "SUITE 170A",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503233",
            "telephone_number": "904-249-4456",
            "fax_number": "904-249-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S",
            "address_2": "SUITE 170A",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-249-4456",
            "fax_number": "904-249-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURINAITIS",
        "first_name": "INGRID",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9107329",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Goodman Land, M.S.
• John Frederick Landis, DDS
• Rachel Landry, PT
• Simone Lapidus, M.D.
• Megan Leilani Larson
• John Gasper Lazzara, D.D.S.
• Jillian Leblanc
• Catherine Lindsay Lee
• Cheralyn Payton Leeby, PH.D.
• Lauren Leonard, MS, CCC-SLP

• Physician Assistant in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.