Active NPI
Lauren Kenealy, APRN
- Family Nurse Practitioner
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11035610
- Practice address
- 901 Venetia Bay Blvd Ste 110
Venice, FL 34285-8042 - Phone
- (941) 484-4778
- Fax
- (941) 485-8063
- NPI assigned
- Apr 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 090725-23 | NH | |
| Family Nurse Practitioner | 363LF0000X | APRN11035610 | FL | Primary |
Addresses
Primary practice location
901 Venetia Bay Blvd Ste 110
Venice, FL 34285-8042
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other practice location 1
1700 S Tamiami Trl
Sarasota, FL 34239-3509
Phone (941) 917-7572
Other names 1
- Lauren Fulmore
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760
901 Venetia Bay Blvd
Suite 110
Venice, FL 34285-8042
Phone (941) 484-4778
Hospital & facility affiliations
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| SMH Physician Services Inc | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
901 Venetia Bay Blvd
Ste 110
Venice, FL 34285
Phone (844) 366-9362
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- lauren.kenealy.1@4290.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1235834987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 VENETIA BAY BLVD STE 110",
"city": "VENICE",
"state": "FL",
"postal_code": "342858042",
"telephone_number": "941-484-4778",
"fax_number": "941-485-8063"
}
],
"practiceLocations": [
{
"address_1": "1700 S Tamiami Trl",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342393509",
"country_code": "US",
"telephone_number": "941-917-7572",
"fax_number": "941-917-6884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENEALY",
"first_name": "LAUREN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "090725-23",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11035610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "FULMORE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.