Organization Active NPI

Lakay Iphanita Klinik, PLLC

  • Primary Care Clinic/Center
  • Naples, FL
National Provider Identifier
1245078856
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LAKAY IPHANITA KLINIK, PLLC
Practice address
1250 Tamiami TRL N Ste 104
Naples, FL 34102-5267
Phone
(239) 231-9024
Fax
(833) 672-3155
NPI assigned
Jul 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Jean Evins Remy, FNP-BCNPI 1902201874
Title
Nurse Practitioner
Phone
(239) 231-9024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1250 Tamiami TRL N Ste 104
Naples, FL 34102-5267

Mailing address

5040 Salerno St
Ave Maria, FL 34142-9578
Phone (239) 231-9024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240930002318 FL Part B Supplier - Clinic/Group Practice 1052842226 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

1250 Tamiami Trl N
Ste 104
Naples, FL 34102
Phone (239) 231-9024

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1245078856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 SALERNO ST",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429578",
            "telephone_number": "239-231-9024",
            "fax_number": "833-672-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 TAMIAMI TRL N STE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025267",
            "telephone_number": "239-231-9024",
            "fax_number": "833-672-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKAY IPHANITA KLINIK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "REMY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "EVINS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "239-231-9024",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.