Active NPI
Lara Cortes Aprn LLC
Doing business as BayouSide Health & Wellness
- Gerontology Nurse Practitioner
- Tarpon Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- LARA CORTES APRN LLC
- Doing business as
- BayouSide Health & Wellness
- Practice address
- 520 E Tarpon Ave
Tarpon Springs, FL 34689-4324 - Phone
- (727) 935-1185
- Fax
- (727) 935-1183
- NPI assigned
- Apr 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lara Cortes, APRN
- Title
- Practice Owner
- Phone
- (727) 935-1185
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
520 E Tarpon Ave
Tarpon Springs, FL 34689-4324
Mailing address
520 E Tarpon Ave
Tarpon Springs, FL 34689-4324
Phone (727) 935-1185
Other names 1
- BayouSide Health & Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
520 E Tarpon Ave
Tarpon Springs, FL 34689
Phone (727) 935-1185
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Tarpon Springs, FL
- NPI 1790254639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744156800000",
"number": "1407641756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E TARPON AVE",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346894324",
"telephone_number": "727-935-1185",
"fax_number": "727-935-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E TARPON AVE",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346894324",
"telephone_number": "727-935-1185",
"fax_number": "727-935-1183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARA CORTES APRN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-09",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A",
"authorized_official_last_name": "CORTES",
"authorized_official_first_name": "LARA",
"authorized_official_title_or_position": "PRACTICE OWNER",
"authorized_official_telephone_number": "727-935-1185",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BayouSide Health & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tarpon Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.