Active NPI
Simon Laine, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP9313024
- Practice address
- 5010 Hollywood Blvd Ste 100B
Hollywood, FL 33021-6557 - Phone
- (954) 967-0028
- NPI assigned
- Oct 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9313024 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | ARNP9113024 | FL |
Addresses
Primary practice location
5010 Hollywood Blvd Ste 100B
Hollywood, FL 33021-6557
Mailing address
5151 Adanson St
Orlando, FL 32804-1317
Phone (407) 875-3700
Other practice location 1
100 Columbia St
Orlando, FL 32806-1006
Phone (407) 875-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Florida International Univ, College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hidalgo Medical Services
Practice addresses (Care Compare)
1007 N Pope St
Silver City, NM 88061-5161
Phone (575) 388-1511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9113024 | FL | MD | Family Nurse Practitioner |
| ARNP9313024 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidalgo Medical Services | Multi-Specialty | Current | Accepting new patients |
| Broward Community and Family Health Centers Inc | Multi-Specialty | Current | Accepting new patients |
| Hidalgo Medical Services | Current | Accepting new patients |
Locations
5010 Hollywood Blvd
Hollywood, FL 33021
5010 Hollywood Blvd
Ste 100B
Hollywood, FL 33021
Phone (954) 967-0028
5800 W Hallandale Beach Blvd
West Park, FL 33023
Phone (954) 966-3939
530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368
1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Lordsburg, NM
- NPI 1306843180
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Hollywood, FL
- NPI 1730121435
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Silver City, NM
- NPI 1467971986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639573157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5151 ADANSON ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328041317",
"telephone_number": "407-875-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 HOLLYWOOD BLVD STE 100B",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216557",
"telephone_number": "954-967-0028"
}
],
"practiceLocations": [
{
"address_1": "100 Columbia St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061006",
"country_code": "US",
"telephone_number": "407-875-3700",
"fax_number": "407-667-1636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAINE",
"first_name": "SIMON",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-13",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP9313024",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9113024",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.