Individual provider Active NPI

Laura E Hollenberger, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1033351788
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9222092 Issued in FL
Practice address
5655 S Orange Ave
Orlando, FL 32809-4289
Phone
(407) 888-1330
Fax
(407) 858-4629
NPI assigned
Mar 26, 2009
Last updated
Jan 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9222092 FL Primary

Addresses

Primary practice location

5655 S Orange Ave
Orlando, FL 32809-4289

Mailing address

6101 Lake Ellenor Dr
Orlando, FL 32809-4616
Phone (407) 858-1400

Other identifiers 1

IdentifierTypeStateIssuer
001454600MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091217000569 FL Practitioner - Nurse Practitioner 2365582681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope and Help Center of Central Florida IncGroup PAC ID 0345593406, 3 clinicians

Practice addresses (Care Compare)

4122 Metric Dr
Suite 800
Winter Park, FL 32792-6809
Phone (407) 645-2577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jan 27, 2018 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 27, 2018 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2501 N Orange Ave
Ste 542
Orlando, FL 32804
Phone (407) 200-2924

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBECCD/Endpoint/JBECCD

Organizations & group practices 3

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": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1033351788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 LAKE ELLENOR DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094616",
            "telephone_number": "407-858-1400",
            "fax_number": "407-858-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094289",
            "telephone_number": "407-888-1330",
            "fax_number": "407-858-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBERGER",
        "first_name": "LAURA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9222092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001454600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.