Individual provider Active NPI

Lara Renee Brown, ARNP

  • Women's Health Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1336500586
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP 9211761 Issued in FL
Practice address
1004 S Old Dixie Hwy
#201
Jupiter, FL 33458-7200
Phone
(561) 745-7094
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP 9211761 FL Primary

Addresses

Primary practice location

1004 S Old Dixie Hwy
#201
Jupiter, FL 33458-7200

Mailing address

2082 Reston Cir
Royal Palm Beach, FL 33411-6112
Phone (561) 596-2307

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620000005 FL Practitioner - Nurse Practitioner 4082905286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jupiter Medical Center Physicians Group IncGroup PAC ID 4284797069, 151 clinicians

Practice addresses (Care Compare)

2111 Military TRL
Suite 200
Jupiter, FL 33458-8098
Phone (561) 263-4400

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9211761FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc CurrentSince Nov 14, 2016 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Nov 14, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

1004 S Old Dixie Hwy
Ste 201
Jupiter, FL 33458
Phone (561) 284-8383

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

2111 Military Trl
Ste 200
Jupiter, FL 33458
Phone (561) 263-4400

Interoperability endpoints

  • Direct secure messaging: lbrown27566@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: lara.brown@jmcpg.eclinicaldirectplus.com

Organizations & group practices 3

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 & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1336500586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2082 RESTON CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116112",
            "telephone_number": "561-596-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S OLD DIXIE HWY",
            "address_2": "#201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587200",
            "telephone_number": "561-745-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LARA",
        "middle_name": "RENEE",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP 9211761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.