Active NPI
Lauren Kay Walter, N.P.
- Family Nurse Practitioner
- Fleming Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11027161
- Practice address
- 4565 US Highway 17 Ste 106
Fleming Island, FL 32003-4822 - Phone
- (317) 274-2304
- Fax
- (317) 274-4554
- NPI assigned
- Jul 3, 2012
- Last updated
- May 16, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 71004001A | IN | |
| Family Nurse Practitioner | 363LF0000X | APRN11027161 | FL | Primary |
Addresses
Primary practice location
4565 US Highway 17 Ste 106
Fleming Island, FL 32003-4822
Mailing address
425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (904) 745-3618
Other names 1
- Lauren Kay Montgomery
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8130 Baymeadows Way W
Suite 201a
Jacksonville, FL 32256-7451
Phone (904) 503-9442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004001A | IN | MD | Adult Health Nurse Practitioner |
| APRN11027161 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Home Care Services, LLC | Current | Accepting new patients | |
| Mid-South Home Care Services, LLC | Current | Accepting new patients | |
| Mid-South Home Care Services, LLC | Current | Accepting new patients | |
| Illumia Health LLC | Current | Accepting new patients | |
| Illumia Health LLC | Current | Accepting new patients |
Locations
8130 Baymeadows Way W
Ste 201
Jacksonville, FL 32256
Phone (740) 988-5042
8130 Baymeadows Way W
Ste 201A
Jacksonville, FL 32256
Phone (904) 503-9442
4776 New Broad St
Ste 150
Orlando, FL 32814
Phone (407) 794-8382
950 S Dillard St
Ste A
Winter Garden, FL 34787
Phone (352) 816-2600
655 Brawley School Rd
Ste 200
Mooresville, NC 28117
Interoperability endpoints
- lauren.walter.1@27472.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1972341147
-
dba Empatia Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Miami, FL
- NPI 1174156210
-
dba Empatia Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Winter Garden, FL
- NPI 1679195028
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- White Bear Lake, MN
- NPI 1972316289
-
dba Empatia Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Alpharetta, GA
- NPI 1154207769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1457615684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W COLONIAL DR STE 303",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046863",
"telephone_number": "904-745-3618",
"fax_number": "904-722-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4565 US HIGHWAY 17 STE 106",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034822",
"telephone_number": "317-274-2304",
"fax_number": "317-274-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "LAUREN",
"middle_name": "KAY",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71004001A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11027161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "MONTGOMERY",
"middle_name": "KAY",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.