Jessica Brooke Larsen, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11020087 Issued in FL

Practice address

10707 66TH St N Ste B
Pinellas Park, FL 33782-2353

Phone

(727) 826-0933

Fax

(727) 350-3487

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DO Sleep Solutions, Inc.

  • Pulmonary Disease Physician
  • Pinellas Park, FL
  • NPI 1982044988
  Medicare reassignment NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1619699352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10707 66TH ST N STE B",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822353",
            "telephone_number": "727-826-0933",
            "fax_number": "727-350-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 66TH ST N STE B",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822353",
            "telephone_number": "727-826-0933",
            "fax_number": "727-350-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "JESSICA",
        "middle_name": "BROOKE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lalitha Jacob MD Inc
• Andrea Rene Lambillotte, MS
• Crystal Beth Landis
• Frances Jean Lantz, MS
• Kyrstin Nicole Lapinski
• Anna L Laurance, D.C.
• Ginger Ann Law
• Frederick Bernard Lazo, BSW
• LBH Med Group LLC
• Thinh Duc Le, PHARMD

• Family Nurse Practitioner in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.