Individual provider Active NPI

Lauren Ann Woomer, PA-C

  • Physician Assistant
  • Venice, FL
National Provider Identifier
1033815113
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117443 Issued in FL
Practice address
19790 Wellen Park Blvd
Suite 201B
Venice, FL 34293
Phone
(941) 777-7771
NPI assigned
Feb 1, 2023
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117443 FL Primary

Addresses

Primary practice location

19790 Wellen Park Blvd
Suite 201B
Venice, FL 34293

Mailing address

4759 Lakeview Dr Ste 101
Sebring, FL 33870-2064
Phone (863) 402-5600

Other practice location 1

9114 Town Center Pkwy Ste 101
Lakewood Ranch, FL 34202-5054
Phone (941) 866-8989

Other practice location 2

1217 Jacaranda Blvd
Venice, FL 34292-4520
Phone (941) 257-0765

Other practice location 3

9114 Town Center Pkwy Ste 101
Lakewood Ranch, FL 34202-5054
Phone (941) 866-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA9117443FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Lakes Surgical PLLC PastSince Jun 1, 2007 Accepting new patients

Organizations & group practices 1

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": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1033815113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 LAKEVIEW DR STE 101",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702064",
            "telephone_number": "863-402-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19790 WELLEN PARK BLVD",
            "address_2": "SUITE 201B",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34293",
            "telephone_number": "941-777-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9114 Town Center Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025054",
            "country_code": "US",
            "telephone_number": "941-866-8989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1217 Jacaranda Blvd",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342924520",
            "country_code": "US",
            "telephone_number": "941-257-0765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9114 Town Center Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025054",
            "country_code": "US",
            "telephone_number": "941-866-8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOMER",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.