Organization Active NPI

Laura Hanke Arnp LTD Co

  • Adult Health Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1568630408
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2831342 Issued in FL
Legal business name
LAURA HANKE ARNP LTD CO
Practice address
3805 Promenade Way
Fort Pierce, FL 34982-6568
Phone
(772) 794-1291
Fax
(772) 794-4435
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Laura Hanke, ARNP
Title
President/Owner
Phone
(772) 794-1291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 2831342 FL Primary

Addresses

Primary practice location

3805 Promenade Way
Fort Pierce, FL 34982-6568

Mailing address

3805 Promenade Way
Fort Pierce, FL 34982-6568
Phone (772) 794-1291

Other identifiers 1

IdentifierTypeStateIssuer
304614100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1568630408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 PROMENADE WAY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826568",
            "telephone_number": "772-794-1291",
            "fax_number": "772-794-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 PROMENADE WAY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826568",
            "telephone_number": "772-794-1291",
            "fax_number": "772-794-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA HANKE ARNP LTD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "HANKE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "772-794-1291",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2831342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304614100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.