Active NPI
Lara Lee Devero-Williams, APRN
- Family Nurse Practitioner
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F11180234
- Practice address
- 635 1St St N
Winter Haven, FL 33881-4129 - Phone
- (863) 294-0670
- Fax
- (863) 229-7620
- NPI assigned
- Nov 19, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F11180234 | FL | Primary |
Addresses
Primary practice location
635 1St St N
Winter Haven, FL 33881-4129
Mailing address
2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496
Other practice location 1
2200 Osprey Blvd
Bartow, FL 33830-3308
Phone (863) 528-0931
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Laura.Devero-WilliamsAPRN@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F11180234 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Gessler Clinic Professional Association | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients |
Locations
2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496
635 1st St N
Winter Haven, FL 33881
Phone (863) 294-0670
601 1st St N
Winter Haven, FL 33881
Phone (863) 294-0670
Interoperability endpoints
- laura.devero-williamsaprn@direct.mybaycare.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1154399533
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1376012385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-315-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 1ST ST N",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814129",
"telephone_number": "863-294-0670",
"fax_number": "863-229-7620"
}
],
"practiceLocations": [
{
"address_1": "2200 Osprey Blvd",
"address_purpose": "LOCATION",
"city": "Bartow",
"state": "FL",
"postal_code": "338303308",
"country_code": "US",
"telephone_number": "863-528-0931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVERO-WILLIAMS",
"first_name": "LARA",
"middle_name": "LEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-19",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F11180234",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Laura.Devero-WilliamsAPRN@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2200 Osprey Blvd",
"city": "Bartow",
"state": "FL",
"country_code": "US",
"postal_code": "338303308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.