Individual provider Active NPI

Lou Jing Armentrout, FNP

  • Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1033824198
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11024067 Issued in FL
Practice address
1543 Aldersgate Dr
Kissimmee, FL 34746-6545
Phone
(352) 406-9297
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11024067 FL Primary

Addresses

Primary practice location

1543 Aldersgate Dr
Kissimmee, FL 34746-6545

Mailing address

1543 Aldersgate Dr
Kissimmee, FL 34746-6545

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL good-sam.com
CONNECT URL larment2@good-sam.com

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
I20230908001410 FL Practitioner - Nurse Practitioner 7719341882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeview Healthcare System, LLCGroup PAC ID 8921074733, 25 clinicians

Practice addresses (Care Compare)

410 Fern Dr
Leesburg, FL 34748-7008
Phone (352) 812-8200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11024067FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Healthcare System, LLC CurrentSince Oct 9, 2023 Accepting new patients
Aegis Medical Group LLC CurrentSince Dec 27, 2024 Accepting new patients
Lakeview Healthcare System, LLC CurrentSince Oct 9, 2023 Accepting new patients

Locations

410 Fern Dr
Leesburg, FL 34748
Phone (352) 218-8200

18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755

1630 SE 18th St
Ste 400
Ocala, FL 34471
Phone (352) 351-3093

10250 SE 167th Place Rd
Unit 5
Summerfield, FL 34491
Phone (352) 307-9225

Networks

  • Freedom Health HMO Network

Interoperability endpoints

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

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1033824198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 ALDERSGATE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 ALDERSGATE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466545",
            "telephone_number": "352-406-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENTROUT",
        "first_name": "LOU",
        "middle_name": "JING",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11024067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "good-sam.com",
            "affiliation": "N",
            "address_1": "1543 Aldersgate Dr",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347466545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "larment2@good-sam.com",
            "affiliation": "N",
            "address_1": "1543 Aldersgate Dr",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347466545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.