Active NPI
Mary Landsberger, ARNP
- Nurse Practitioner
- Lakeland, FL
National Provider Identifier
1083695266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP1469442
- Practice address
- 4740 Exploration Ave
Lakeland, FL 33812-3319 - Phone
- (863) 666-9020
- Fax
- (863) 606-0887
- NPI assigned
- Nov 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP1469442 | FL | Primary |
Addresses
Primary practice location
4740 Exploration Ave
Lakeland, FL 33812-3319
Mailing address
4740 Exploration Ave
Lakeland, FL 33812-3319
Phone (863) 666-9020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP1469442 | Other | FL | ARNP LICENSE NUMBER |
| E5483A | Other | FL | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ante Rudez MD PA | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1356595680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1083695266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 EXPLORATION AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338123319",
"telephone_number": "863-666-9020",
"fax_number": "863-606-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 EXPLORATION AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338123319",
"telephone_number": "863-666-9020",
"fax_number": "863-606-0887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDSBERGER",
"first_name": "MARY",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP1469442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP LICENSE NUMBER",
"identifier": "ARNP1469442",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED MEDICAL MANAGEMENT OF FLORIDA INC",
"identifier": "E5483A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.