Individual provider Active NPI

Rebecca Ann Lauren, ARNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1235557323
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9215914 Issued in FL
Practice address
5512 18TH St NE
Saint Petersburg, FL 33703-1731
Phone
(813) 453-7931
NPI assigned
Apr 4, 2014
Last updated
May 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9215914 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9215914 FL Primary

Addresses

Primary practice location

5512 18TH St NE
Saint Petersburg, FL 33703-1731

Mailing address

5512 18TH St NE
Saint Petersburg, FL 33703-1731
Phone (813) 453-7931

Other practice location 1

12271 US Highway 301 N
Parrish, FL 34219-8410
Phone (941) 776-4050

Other identifiers 1

IdentifierTypeStateIssuer
ATN556765MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebeccalaurenaprn@hushmail.com

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
I20140501000265 FL Practitioner - Nurse Practitioner 7810120680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5512 18TH St NE
St Petersburg, FL 33703-1731
Phone (813) 453-7931

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Lauren Aprn, LLC CurrentSince Jun 3, 2019 Accepting new patients
Edel Alvarez MD LLC CurrentSince Apr 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1235557323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 18TH ST NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337031731",
            "telephone_number": "813-453-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 18TH ST NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337031731",
            "telephone_number": "813-453-7931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12271 US Highway 301 N",
            "address_purpose": "LOCATION",
            "city": "Parrish",
            "state": "FL",
            "postal_code": "342198410",
            "country_code": "US",
            "telephone_number": "941-776-4050",
            "fax_number": "941-776-4057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUREN",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9215914",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9215914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ATN556765",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebeccalaurenaprn@hushmail.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email",
            "address_1": "5512 18th St NE",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337031731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.