Individual provider Active NPI

Anne Marie Noe

  • Family Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1043689797
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016044 Issued in FL
Practice address
801 International Pkwy Ste 500
Lake Mary, FL 32746-4763
Phone
(407) 869-4770
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18148 OH
Family Nurse Practitioner 363LF0000X APRN11016044 FL Primary

Addresses

Primary practice location

801 International Pkwy Ste 500
Lake Mary, FL 32746-4763

Mailing address

337 Elkhorn CT
Winter Park, FL 32792-3521
Phone (513) 800-3367

Other identifiers 1

IdentifierTypeStateIssuer
18148OtherOHNP LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2023 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11016044FLMDFamily Nurse Practitioner
18148OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beckett Ridge Family Medicine, Inc. PastSince Jan 1, 2001 Accepting new patients

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1043689797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 ELKHORN CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923521",
            "telephone_number": "513-800-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 INTERNATIONAL PKWY STE 500",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464763",
            "telephone_number": "407-869-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOE",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "18148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE NUMBER",
            "identifier": "18148",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.