Dianne H Lavelle, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN9374577 Issued in FL

Practice address

5201 Gate Pkwy
Jacksonville, FL 32256-7284

Phone

(904) 645-4060

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1184974438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 TRADEWINDS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501820",
            "telephone_number": "973-349-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 GATE PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567284",
            "telephone_number": "904-645-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4181 Tradewinds Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32250",
            "country_code": "US",
            "telephone_number": "973-349-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4181 Tradewinds Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32250",
            "country_code": "US",
            "telephone_number": "973-349-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 A1A N Ste E17",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320823227",
            "country_code": "US",
            "telephone_number": "904-686-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14000 Citicards Way # A140A",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322586456",
            "country_code": "US",
            "telephone_number": "904-954-8262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVELLE",
        "first_name": "DIANNE",
        "middle_name": "H",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9374577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giedre Laurinaitis, MD
• Marius Laurinaitis, M.D.
• Catherine Lauzier, RBT
• Olivia Lauzon, LCSW, LSWAIC
• David Lavanderos
• Madison Elizabeth Lavelle
• Clare Lavender, PHD, LMHC
• Jordan Michael Lavender
• Gretchen A Lavergne, M.S., CCC-SLP
• Orlyn Claire Yap Lavilla, M.D

• Adult Health Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.