Individual provider Active NPI

Janet Kai Lam

  • Primary Care Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1104465228
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11004894 Issued in FL
Practice address
3909 17TH Ave W
Bradenton, FL 34205-1412
Phone
(941) 228-6281
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11004894 FL Primary

Addresses

Primary practice location

3909 17TH Ave W
Bradenton, FL 34205-1412

Mailing address

3909 17TH Ave W
Bradenton, FL 34205-1412
Phone (941) 228-6281

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
I20200728000775 FL Practitioner - Nurse Practitioner 1052735784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Jul 31, 2020 Accepting new patients
MCR Health, Inc. CurrentSince Jul 31, 2020 Accepting new patients
MCR Health, Inc. Past Accepting new patients
MCR Health, Inc. Past Accepting new patients

Locations

250 N Brevard Ave
Ste 2
Arcadia, FL 34266

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

1515 26th Ave E
Bradenton, FL 34208
Phone (941) 708-7607

6040 State Road 70 E
Unit B
Bradenton, FL 34203
Phone (941) 366-2273

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Interoperability endpoints

  • Direct secure messaging: janet.lam.1@11352.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1104465228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 17TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342051412",
            "telephone_number": "941-228-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 17TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342051412",
            "telephone_number": "941-228-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "JANET",
        "middle_name": "KAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11004894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.