Individual provider Active NPI

Laura Marie Triola, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1073670279
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2192422 Issued in FL
Practice address
1909 Beach Blvd Ste 102
Jacksonville, FL 32250-2643
Phone
(904) 246-2752
Fax
(904) 246-2758
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 ARNP 2192422 FL
Nurse Practitioner 363L00000X ARNP2192422 FL Primary

Addresses

Primary practice location

1909 Beach Blvd Ste 102
Jacksonville, FL 32250-2643

Mailing address

PO Box 440055
Jacksonville, FL 32222-0001
Phone (904) 282-6331

Other practice location 1

14444 Beach Blvd
Suite 403
Jacksonville, FL 32250-2079
Phone (904) 992-6681

Other identifiers 1

IdentifierTypeStateIssuer
363L00000XOtherTAXONOMY

Other names 1

  • Laura Maire Triola Professional name

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
I20071231000010 FL Practitioner - Nurse Practitioner 4789764994 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 2192422FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Medical Clinic Inc CurrentSince Nov 5, 2020 Accepting new patients

Locations

1361 13th Ave S
Ste 150
Jax Bch, FL 32250
Phone (904) 242-7177

Interoperability endpoints

  • Direct secure messaging: laura.triola.1@32807.direct.athenahealth.com

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073670279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440055",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322220001",
            "telephone_number": "904-282-6331",
            "fax_number": "904-619-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 BEACH BLVD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502643",
            "telephone_number": "904-246-2752",
            "fax_number": "904-246-2758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14444 Beach Blvd",
            "address_2": "Suite 403",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322502079",
            "country_code": "US",
            "telephone_number": "904-992-6681",
            "fax_number": "904-992-6691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIOLA",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 2192422",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2192422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "363L00000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "TRIOLA",
            "middle_name": "MAIRE",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.