Individual provider Active NPI

Lauren Karesh, CNP

  • Nurse Practitioner
  • Santa Rosa Beach, FL
National Provider Identifier
1114401379
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11027875 Issued in FL
Practice address
2563 S County Highway 395
Santa Rosa Beach, FL 32459-6328
Phone
(404) 281-0904
Fax
(404) 977-4389
NPI assigned
Sep 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.023542 OH
Family Nurse Practitioner 363LF0000X RN207049 GA
Nurse Practitioner 363L00000X APRN11027875 FL Primary

Addresses

Primary practice location

2563 S County Highway 395
Santa Rosa Beach, FL 32459-6328

Mailing address

2563 S County Highway 395
Santa Rosa Beach, FL 32459-6328
Phone (404) 281-0904

Other practice location 1

64 Pine Knoll Ln
Santa Rosa Beach, FL 32459-4588
Phone (770) 757-2190

Other identifiers 3

IdentifierTypeStateIssuer
91151OtherFLANCC- STRATEGIES FOR APPROPRIATE OPIOID PRESCRIBING: THE FLORIDA APRN/PA REQUIR
95300OtherFLANCC-SUBSTANCE USE DISORDERS AND PAIN MANAGEMENT: MATE ACT TRAINING
91152OtherFL#91152 STRATEGIES FOR APPROPRIATE OPIOID PRESCRIBING: THE FLORIDA APRN/PA REQUIR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190614000520 OH Practitioner - Nurse Practitioner 5597098012
I20230929000095 FL Practitioner - Nurse Practitioner 5597098012 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11027875FLMDNurse Practitioner
RN207049GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Mosley PA-C LLC CurrentSince Sep 1, 2023 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, 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": "1537660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1114401379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 S COUNTY HIGHWAY 395",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596328",
            "telephone_number": "404-281-0904",
            "fax_number": "404-977-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 S COUNTY HIGHWAY 395",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596328",
            "telephone_number": "404-281-0904",
            "fax_number": "404-977-4389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Pine Knoll Ln",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "postal_code": "324594588",
            "country_code": "US",
            "telephone_number": "770-757-2190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARESH",
        "first_name": "LAUREN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-23",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023542",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN207049",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11027875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC- STRATEGIES FOR APPROPRIATE OPIOID PRESCRIBING: THE FLORIDA APRN/PA REQUIR",
            "identifier": "91151",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC-SUBSTANCE USE DISORDERS AND PAIN MANAGEMENT: MATE ACT TRAINING",
            "identifier": "95300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "#91152 STRATEGIES FOR APPROPRIATE OPIOID PRESCRIBING: THE FLORIDA APRN/PA REQUIR",
            "identifier": "91152",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.