Individual provider Active NPI

Lori Ann Jesberger, NP-C

  • Primary Care Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1396000147
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11000966 Issued in FL
Practice address
800 E Broward Blvd Ste 400
Fort Lauderdale, FL 33301-2033
Phone
(419) 668-4851
Fax
(419) 663-5146
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.13454-NP OH
Family Nurse Practitioner 363LF0000X RN.311775-COA1 OH
Primary Care Nurse Practitioner 363LP2300X APRN11000966 FL Primary

Addresses

Primary practice location

800 E Broward Blvd Ste 400
Fort Lauderdale, FL 33301-2033

Mailing address

815 Buckeye LN
Sandusky, OH 44870-7348
Phone (419) 366-1577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.134OHMDFamily Nurse Practitioner
COA.13454-NPOHMDFamily Nurse Practitioner
RN.311775-COA1OHMDFamily Nurse Practitioner
APRN11000966FLMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1396000147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 BUCKEYE LN",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707348",
            "telephone_number": "419-366-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E BROWARD BLVD STE 400",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012033",
            "telephone_number": "419-668-4851",
            "fax_number": "419-663-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESBERGER",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.13454-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.311775-COA1",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11000966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.