Laura Ann Dijerome, RN, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9341204 Issued in FL

Practice address

80 Woodland Ave
Cocoa Beach, FL 32931-2854

Phone

(321) 799-2840

NPI assigned

Sep 20, 2006

Last updated

Feb 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Akron Dermatology, Inc.

  • Dermatology Physician
  • Akron, OH
  • NPI 1699708438
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1063519148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WOODLAND AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312854",
            "telephone_number": "321-799-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WOODLAND AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312854",
            "telephone_number": "321-799-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIJEROME",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "RN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9341204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P322604",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenakan Jeramian Dev, MD
• Steven Ray Devins, D.D.S.
• Javier Diaz Blanco, MD
• Beth Ann Dickerson, APRN
• Dignified Care L.L.C.
• Dixitkumar N Modi MD PA
• Natalia Dougher
• Kimberly Dozier-Thornton, MD
• Dr. Alex Davis - Assessment and Consulting PLLC
• Dr. Betsy Leveritt, D.O.,

• Nurse Practitioner in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.