Active NPI
Laura Beth Pope, NNP-BC
- Neonatal Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1093107526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- ARNP 9290955
- Practice address
- 820 Prudential Dr
Jacksonville, FL 32207-8210 - Phone
- (904) 202-2330
- NPI assigned
- Feb 20, 2015
- Last updated
- May 26, 2015
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | ARNP 9290955 | FL | Primary |
Addresses
Primary practice location
820 Prudential Dr
Jacksonville, FL 32207-8210
Mailing address
845 Bending Oak TRL
Winter Garden, FL 34787-2457
Phone (407) 619-8114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003158165A | Medicaid | GA | |
| 014415700 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9290955 | FL | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1093107526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 BENDING OAK TRL",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347872457",
"telephone_number": "407-619-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078210",
"telephone_number": "904-202-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPE",
"first_name": "LAURA",
"middle_name": "BETH",
"credential": "NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-20",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "FL",
"license": "ARNP 9290955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003158165A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014415700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.