Active NPI
Lori Ann Jesberger, NP-C
- Primary Care Nurse Practitioner
- Fort Lauderdale, FL
National Provider Identifier
1396000147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN11000966
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.134 | OH | MD | Family Nurse Practitioner |
| COA.13454-NP | OH | MD | Family Nurse Practitioner |
| RN.311775-COA1 | OH | MD | Family Nurse Practitioner |
| APRN11000966 | FL | MD | Primary 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.