Active NPI
Jaison Joseph Luke, ARNP
- Family Nurse Practitioner
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9350331
- Practice address
- 1705 Lakeland Hills Blvd Ste 1
Lakeland, FL 33805-3061 - Phone
- (863) 688-6051
- Fax
- (208) 977-3177
- NPI assigned
- Jun 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9350331 | FL | Primary |
Addresses
Primary practice location
1705 Lakeland Hills Blvd Ste 1
Lakeland, FL 33805-3061
Mailing address
1705 Lakeland Hills Blvd Ste 1
Lakeland, FL 33805-3061
Phone (863) 688-6051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339240 | NY | MD | Internal Medicine Physician |
| ARNP 9350331 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Episource LLC | Current | Accepting new patients | |
| Health First Primary Care, L.L.C | Current | Accepting new patients | |
| Art of Dermatology PLLC | Current | Accepting new patients | |
| Alan Bolton, MD, PC | Past | Accepting new patients |
Locations
500 W 190th St
Fl 4
Gardena, CA 90248
Phone (424) 292-2923
14290 Metropolis Ave
Ste 2
Fort Myers, FL 33912
Phone (239) 356-3503
8000 SW 117th Ave
Ste 205
Miami, FL 33183
Phone (305) 273-9100
2350 Vanderbilt Beach Rd
Ste 301
Naples, FL 34109
Phone (239) 356-3503
10850 Temple Ter
Ste 300
Seminole, FL 33772
Phone (727) 398-5295
12332 Race Track Rd
Tampa, FL 33626
Phone (813) 756-4383
208 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603
Phone (813) 223-3300
28903 Woodward Ave
Berkley, MI 48072
Phone (248) 542-7141
329 S Oyster Bay Rd
Plainview, NY 11803
Phone (714) 452-1961
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.
-
- General Practice Physician
- Tampa, FL
- NPI 1609218098
-
- Obstetrics & Gynecology Physician
- Berkley, MI
- NPI 1467632901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1184074759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 LAKELAND HILLS BLVD STE 1",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053061",
"telephone_number": "863-688-6051",
"fax_number": "208-977-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 LAKELAND HILLS BLVD STE 1",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053061",
"telephone_number": "863-688-6051",
"fax_number": "208-977-3177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH LUKE",
"first_name": "JAISON",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-15",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9350331",
"primary": true
}
],
"identifiers": [],
"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 Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.