Jessica Layne

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4400 N Highway 19a
Unit 10
Mount Dora, FL 32757-2032

Phone

(407) 843-1760

Fax

(407) 843-1767

NPI assigned

Apr 11, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Miracleo of Love, Inc.

  • Case Management Agency
  • Orlando, FL
  • NPI 1447783956
  NPD (past)

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1255864773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047343",
            "telephone_number": "407-843-1760",
            "fax_number": "407-843-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N HIGHWAY 19A",
            "address_2": "UNIT 10",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572032",
            "telephone_number": "407-843-1760",
            "fax_number": "407-843-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FL9220132",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillian Lam
• Alyssa Landry, LMFT, LMHC
• Larry E. Shyers, PH.D., and Associates, Inc
• Denise Laureano
• Mycose Laurent
• Thinh Van Le
• Sajoia Lee
• Steven L Leland, LMHC
• Beverly A Lense, M.D.
• Joan Lenze, D.D.S.

• Case Manager/Care Coordinator in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.