Active NPI
Nancy Laureano, PA-C
- Medical Physician Assistant
- Vero Beach, FL
National Provider Identifier
1316954902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 9103378
- Practice address
- 1400 27TH St
Vero Beach, FL 32960-0303 - Phone
- (772) 257-8224
- Fax
- (772) 252-3245
- NPI assigned
- Aug 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 9103378 | FL | Primary |
Addresses
Primary practice location
1400 27TH St
Vero Beach, FL 32960-0303
Mailing address
1555 Indian River Blvd
Vero Beach, FL 32960-5639
Phone (772) 257-8224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9103378 | Other | FL | STATE LICENSE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9103378 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Community Health Inc | Current | Accepting new patients | |
| Treasure Coast Community Health Inc | Current | Accepting new patients | |
| Treasure Coast Community Health Inc | Current | Accepting new patients | |
| Brevard Emergency Services | Past | Accepting new patients | |
| Treasure Coast Community Health Inc | Past | Accepting new patients |
Locations
12196 County Road 512
Fellsmere, FL 32948
Phone (561) 571-8828
44 N Pine St
Fellsmere, FL 32948
1545 9th St SW
Vero Beach, FL 32962
Phone 77225782241908
1400 27th St
Vero Beach, FL 32960
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71320
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Fellsmere, FL
- NPI 1891740916
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1609686542
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1649721341
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1659083319
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1104870393
-
- Federally Qualified Health Center (FQHC)
- Fellsmere, FL
- NPI 1093266793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1316954902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 INDIAN RIVER BLVD",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605639",
"telephone_number": "772-257-8224",
"fax_number": "772-252-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 27TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329600303",
"telephone_number": "772-257-8224",
"fax_number": "772-252-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUREANO",
"first_name": "NANCY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 9103378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA9103378",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.