Active NPI
Layne K Petrino, NNP
- Critical Care Neonatal Nurse Practitioner
- Lake Mary, FL
National Provider Identifier
1295912996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- ARNP9237035
- Practice address
- 380 Rinehart Rd
Lake Mary, FL 32746-2551 - Phone
- (407) 767-1200
- NPI assigned
- Jan 24, 2008
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | ARNP9237035 | FL | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | ARNP9237035 | FL | Primary |
Addresses
Primary practice location
380 Rinehart Rd
Lake Mary, FL 32746-2551
Mailing address
380 Rinehart Rd
Lake Mary, FL 32746-2551
Other practice location 1
13535 Nemours Pkwy
Nemours Children's Hospital
Orlando, FL 32827-7402
Phone (407) 567-4760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039256068B | Medicaid | GA | |
| 0004354-00 | Medicaid | FL |
Other names 1
- Miss Jessica Layne Kornick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9575 | WI | MD | Pharmacist |
| ARNP9237035 | FL | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1295912996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 RINEHART RD",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 RINEHART RD",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462551",
"telephone_number": "407-767-1200"
}
],
"practiceLocations": [
{
"address_1": "13535 Nemours Pkwy",
"address_2": "Nemours Children's Hospital",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328277402",
"country_code": "US",
"telephone_number": "407-567-4760",
"fax_number": "407-567-3128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETRINO",
"first_name": "LAYNE",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-24",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "FL",
"license": "ARNP9237035",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "FL",
"license": "ARNP9237035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039256068B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0004354-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "KORNICK",
"middle_name": "LAYNE",
"prefix": "MISS",
"credential": "NNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.