Individual provider Active NPI

Jahaira Elizabeth Lasanta, ARNP

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1649626409
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9258602 Issued in FL
Practice address
15275 Collier Blvd Ste 201-165
Naples, FL 34119-6750
Phone
(786) 256-4252
Fax
(786) 590-1618
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61082877 WA
Family Nurse Practitioner 363LF0000X 24190140 VA
Family Nurse Practitioner 363LF0000X SP021868 PA
Family Nurse Practitioner 363LF0000X 101.0137172 VT
Family Nurse Practitioner 363LF0000X 36306 TN
Family Nurse Practitioner 363LF0000X 1133303 TX
Family Nurse Practitioner 363LF0000X 351607 NY
Family Nurse Practitioner 363LF0000X 4042274 KY
Family Nurse Practitioner 363LF0000X ARNP9258602 FL Primary

Addresses

Primary practice location

15275 Collier Blvd Ste 201-165
Naples, FL 34119-6750

Mailing address

15275 Collier Blvd Ste 201-165
Naples, FL 34119-6750
Phone (786) 256-4252

Other practice location 1

2328 Hancock Bridge Pkwy Ste 101A
Cape Coral, FL 33990-1455
Phone (239) 652-3783

Other identifiers 1

IdentifierTypeStateIssuer
102208400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241031001833 NY Practitioner - Nurse Practitioner 1759646052
I20251113000308 WA Practitioner - Nurse Practitioner 1759646052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health CentersGroup PAC ID 9739076217, 31 clinicians
County of LincolnGroup PAC ID 3375439862, shared by 5 NPIs, 28 clinicians

Practice addresses (Care Compare)

1015 Columbia Ave
Bridgeport, WA 98813-9900
Phone (509) 686-0683

1400 Tacoma Ave
Bridgeport, WA 98813
Phone (800) 660-2129

36 SW Nye St
Newport, OR 97365-3821
Phone (541) 265-4947

36 Swnye St
Newport, OR 97365-3821

716 1St Ave S
Okanogan, WA 98840-9679
Phone (509) 422-5700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4042274KYMDFamily Nurse Practitioner
SP021868PAMDFamily Nurse Practitioner
1133303TXMDFamily Nurse Practitioner
24190140VAMDFamily Nurse Practitioner
101.0137172VTMDFamily Nurse Practitioner
AP61082877WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers Current Accepting new patients
Family Health Centers CurrentSince Sep 23, 2025 Accepting new patients
Family Health Centers CurrentSince Sep 23, 2025 Accepting new patients

Locations

525 Jay Ave
Brewster, WA 98812
Phone (509) 689-3455

1015 Columbia Ave
Bridgeport, WA 98813
Phone (509) 686-0603

Interoperability endpoints

  • Direct secure messaging: jahaira.lasanta.arnp.1@19043.direct.athenahealth.com

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1649626409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15275 COLLIER BLVD STE 201-165",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341196750",
            "telephone_number": "786-256-4252",
            "fax_number": "786-590-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15275 COLLIER BLVD STE 201-165",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341196750",
            "telephone_number": "786-256-4252",
            "fax_number": "786-590-1618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2328 Hancock Bridge Pkwy Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339901455",
            "country_code": "US",
            "telephone_number": "239-652-3783",
            "fax_number": "239-652-3881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASANTA",
        "first_name": "JAHAIRA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61082877",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "24190140",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021868",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0137172",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36306",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1133303",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351607",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4042274",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9258602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102208400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.