Laelisha Patton, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9295237 Issued in FL

Practice address

1075 Oakleaf Plantation Pkwy
#108
Orange Park, FL 32065-3624

Phone

(904) 282-4565

NPI assigned

Jul 28, 2016

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hospital Specialists Inc

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144265257
  Medicare reassignment NPD

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1306399126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 SWILCAN BRIDGE LN N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245617",
            "telephone_number": "904-281-0944",
            "fax_number": "904-281-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 OAKLEAF PLANTATION PKWY",
            "address_2": "#108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653624",
            "telephone_number": "904-282-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "LAELISHA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9295237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tehmina Patel, MD
• Tristan Tushar Patel
• Path Medical, LLC (Path Medical - Arlington)
• Path Medical, LLC (Path Medical - Orange Park)
• Pathways Resolution Center, Inc. (OMS, Inc.)
• Michael Joseph Paulk, D.C.
• Charity Payne, ATC
• Kelly Payne, PTA
• PCP Financial Services LLC
• Eidel Pearl, MSW

• Family Nurse Practitioner in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.