Individual provider Active NPI

Christine Laramee, MD

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1467487967
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME69487 Issued in FL
Practice address
1180 Ponce de Leon Blvd Ste 401
Jsa Ponce de Leon Blvd Primary Care
Clearwater, FL 33756-1014
Phone
(727) 581-3171
Fax
(727) 447-4827
NPI assigned
Jul 12, 2006
Last updated
Aug 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME69487 FL Primary

Addresses

Primary practice location

1180 Ponce de Leon Blvd Ste 401
Jsa Ponce de Leon Blvd Primary Care
Clearwater, FL 33756-1014

Mailing address

10051 5TH Street North #200
Jsa Healthcare Corp
St. Petersburg, FL 33702-2211
Phone (727) 828-8930

Other identifiers 2

IdentifierTypeStateIssuer
007658200MedicaidFL
10713691OtherCAQH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313004133 FL Order and Referring Only - Family PracticePractitioner - Family Practice 1658267919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME69487FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospice of the Florida Suncoast, Inc. Family Medicine Past Accepting new patients
Empath Health Pharmaceuticals, LLC Past Accepting new patients
Optumcare Florida LLC Family Medicine Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1467487967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 5TH STREET NORTH #200",
            "address_2": "JSA HEALTHCARE CORP",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337022211",
            "telephone_number": "727-828-8930",
            "fax_number": "727-568-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 PONCE DE LEON BLVD STE 401",
            "address_2": "JSA PONCE DE LEON BLVD PRIMARY CARE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561014",
            "telephone_number": "727-581-3171",
            "fax_number": "727-447-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARAMEE",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME69487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007658200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10713691",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.