Lauren Anne Eggnatz, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11009145 Issued in FL

Practice address

1725 Monastery Rd
Orange City, FL 32763-6313

Phone

(386) 341-6216

NPI assigned

Sep 15, 2020

Last updated

Sep 15, 2020By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2026 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lauren.eggnatz@halifax.org

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.

• Ultimate Medical Clinic LLC

  • Primary Care Clinic/Center
  • Debary, FL
  • NPI 1922692003
  NPD

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1497360481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MONASTERY RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327636313",
            "telephone_number": "386-341-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MONASTERY RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327636313",
            "telephone_number": "386-341-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGNATZ",
        "first_name": "LAUREN",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11009145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.eggnatz@halifax.org",
            "affiliation": "N",
            "address_1": "303 N Clyde Morris Blvd",
            "city": "Daytona Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321142709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• E&N Loving and Reliable Transportation Services LLC
• Michaelene A Eakin, NP-C
• Erin Elizabeth Ebert, M.S., CCC-SLP
• Lisa M Eddy, LMHC
• Edmundo I Rivera MD PA
• Vahidha Eghbal
• Ahmed Elbanna, D.O.
• Donna L Elbin
• Elder Health Care of Volusia, P.a.
• Nazih Elgallab

• Family Medicine Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.