Individual provider Active NPI

Lauren Kornacker, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1043753726
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9381582 Issued in FL
Practice address
6216 E Sligh Ave
Tampa, FL 33617-9105
Phone
(813) 549-8060
Fax
(813) 549-7843
NPI assigned
Nov 29, 2016
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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 ARNP9381582 FL Primary

Addresses

Primary practice location

6216 E Sligh Ave
Tampa, FL 33617-9105

Mailing address

PO Box 82969
Tampa, FL 33682-2969
Phone (813) 866-0930

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
I20161229001725 FL Practitioner - Nurse Practitioner 5193006369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4308 N Habana Ave
Tampa, FL 33607-6362
Phone (813) 654-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary & Sleep of Tampa Bay PL CurrentSince Jun 14, 2024 Accepting new patients
Pulmonary & Sleep of Tampa Bay PL Current Accepting new patients
Pulmonary & Sleep of Tampa Bay PL CurrentSince Jun 14, 2024 Accepting new patients

Locations

311 Noland Dr
Brandon, FL 33511
Phone (813) 654-8100

4308 N Habana Ave
Tampa, FL 33607
Phone (813) 490-9495

2329 Crestover Ln
Ste 101
Wesley Chapel, FL 33544
Phone (813) 654-8100

Interoperability endpoints

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

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": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1043753726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "813-866-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 E SLIGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336179105",
            "telephone_number": "813-549-8060",
            "fax_number": "813-549-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNACKER",
        "first_name": "LAUREN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9381582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.