Individual provider Active NPI

Emily Laeser, ARNP

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1174984561
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9286385 Issued in FL
Practice address
13470 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1850
Phone
(239) 415-7576
NPI assigned
Mar 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9286385 FL Primary

Addresses

Primary practice location

13470 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1850

Mailing address

3090 Windsong CT #102
Naples, FL 34109

Other practice location 1

3660 Broadway
Ft myers, FL 33901
Phone (239) 425-4775

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

LicenseStateTypeSpecialty
ARNP9286385FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Azul Cosmetic Surgery & Medical Spa PA PastSince Apr 16, 2008 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.

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174984561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 WINDSONG CT #102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13470 PARKER COMMONS BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121850",
            "telephone_number": "239-415-7576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3660 Broadway",
            "address_purpose": "LOCATION",
            "city": "Ft myers",
            "state": "FL",
            "postal_code": "33901",
            "country_code": "US",
            "telephone_number": "239-425-4775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAESER",
        "first_name": "EMILY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9286385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.