Individual provider Active NPI

Laura Lee Eaton-Jankov, APRN

  • Family Nurse Practitioner
  • Oakland Park, FL
National Provider Identifier
1356064661
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11021972 Issued in FL
Practice address
4420 N.E. 20TH Ave, Suite J
Oakland Park, FL 33308
Phone
(954) 288-2625
Fax
(954) 206-7834
NPI assigned
Sep 21, 2022
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11021972 FL Primary

Addresses

Primary practice location

4420 N.E. 20TH Ave, Suite J
Oakland Park, FL 33308

Mailing address

2307 Sea Island Dr
Fort Lauderdale, FL 33301-1574
Phone (949) 468-9301

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
I20230214001149 FL Practitioner - Nurse Practitioner 6204208531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4420 NE 20TH Ave
Suite J
Oakland Park, FL 33308-5190
Phone (954) 488-2625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11021972FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cureclinix,LLC CurrentSince Sep 23, 2024 Accepting new patients
Beth and Howard Braver MD PA PastSince Sep 1, 2022 Accepting new patients

Locations

4420 NE 20th Ave
Ste J
Oakland Park, FL 33308
Phone (954) 419-6133

Interoperability endpoints

  • Direct secure messaging: leatonjankov317844@mhsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1356064661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 SEA ISLAND DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011574",
            "telephone_number": "949-468-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 N.E. 20TH AVE, SUITE J",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-288-2625",
            "fax_number": "954-206-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON-JANKOV",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-09-19",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.