Laura Ford, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9229205 Issued in FL

Practice address

20370 NE Burns Ave
Blountstown, FL 32424-1045

Phone

(850) 237-3000

Fax

(850) 237-3001

NPI assigned

Nov 22, 2013

Last updated

Mar 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Laura Anne Gore Former name

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calhoun-Liberty Hospital Association IncGroup PAC ID 8820007016, shared by 4 NPIs, 12 clinicians

Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Calhoun-Liberty Hospital Hospital, Blountstown, FL, CCN 101304

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e
• Direct secure messaging: laura.ford.1@29055.direct.athenahealth.com

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment Care Compare group NPD
• Calhoun-Liberty Hospital Association Inc

  dba Calhoun-Liberty Primary Care Clinic

  • Primary Care Clinic/Center
  • Blountstown, FL
  • NPI 1588944334
  Medicare reassignment NPD
• Calhoun-Liberty Hospital Association Inc

  • Emergency Care Clinic/Center
  • Blountstown, FL
  • NPI 1649596784
  Medicare reassignment NPD
• FL-I Medical Services, LLC

  • Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1750655106
  Medicare reassignment NPD
• Calhoun-Liberty Hospital Association Inc

  • Skilled Nursing Facility
  • Blountstown, FL
  • NPI 1033434196
  NPD
• FL-I Medical Services LLC

  • Physician Assistant
  • Haines City, FL
  • NPI 1285356790
  NPD
• FL-I Medical Services, LLC

  • Emergency Medicine Physician
  • Port Saint Lucie, FL
  • NPI 1992376255
  NPD
• Calhoun Liberty Hospital Association, Inc.

  • Critical Access Hospital
  • Blountstown, FL
  • NPI 1437253085
  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

• Calhoun Liberty Hospital Association, Inc.

  • Critical Access Hospital
  • Blountstown, FL
  • NPI 1437253085
  Care Compare affiliation

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1407286784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11661 NW FORD FARM TRL",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323211720",
            "telephone_number": "850-237-3000",
            "fax_number": "850-237-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20370 NE BURNS AVE",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241045",
            "telephone_number": "850-237-3000",
            "fax_number": "850-237-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11661 NW Ford Farm Trl",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "FL",
            "postal_code": "323211720",
            "country_code": "US",
            "telephone_number": "813-503-2178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "LAURA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9229205",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9229205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010460500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GORE",
            "middle_name": "ANNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barry A. Edewaard, O.D.
• Emergystat, Inc
• Misbah I Farooqi, M.D.
• Iqbal Ahmed Faruqui, MD
• Florida Department of Health (Calhoun County Health Department)
• Freeport Medical Associates
• Golden Pharmacy,Inc
• Clifford Dowling Goodman II, RPH
• Howell Stewart Goodman Sr., RPH
• Jennie Goodman, RPH

• Family Nurse Practitioner in Blountstown, FL
• Providers in Blountstown, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.