Individual provider Active NPI

Laura Ann Hollywood, CNM, FNP, WHCP, ARNP

  • Adult Health Nurse Practitioner
  • North Fort Myers, FL
National Provider Identifier
1568803286
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 9363011 Issued in FL
Practice address
4250 Hatton Rogers LN
North Fort Myers, FL 33903-7813
Phone
(239) 656-0221
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 9363011 FL Primary
Adult Health Nurse Practitioner 363LA2200X F335124-1 NY
Women's Health Nurse Practitioner 363LW0102X F420883-1 NY
Advanced Practice Midwife 367A00000X F000739-1 NY

Addresses

Primary practice location

4250 Hatton Rogers LN
North Fort Myers, FL 33903-7813

Mailing address

2024 SW 44TH Ter
Cape Coral, FL 33914-6207
Phone (845) 597-6051

Other names 1

  • Laura Ann Albert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP 9363011FLMDAdult Health Nurse Practitioner
F335124-1NYMDAdult Health Nurse Practitioner
F420883-1NYMDWomen's Health Nurse Practitioner
F000739-1NYMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1568803286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 SW 44TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146207",
            "telephone_number": "845-597-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HATTON ROGERS LN",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339037813",
            "telephone_number": "239-656-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLYWOOD",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "CNM, FNP, WHCP, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9363011",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F335124-1",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420883-1",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000739-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ALBERT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.