Individual provider Active NPI

Laura Beth McClure, APRN, FNP-C

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1649925009
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11017842 Issued in FL
Practice address
720 E New Haven Ave Ste 11
Melbourne, FL 32901-5474
Phone
(321) 724-4545
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11017842 FL Primary

Addresses

Primary practice location

720 E New Haven Ave Ste 11
Melbourne, FL 32901-5474

Mailing address

720 E New Haven Ave Ste 11
Melbourne, FL 32901-5474
Phone (321) 724-4545

Other practice location 1

1565 Mayowood Cir Unit 4249
West Melbourne, FL 32904-4116
Phone (321) 543-9269

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL shari.gidden.brevardgeriatrics@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220521000299 FL Practitioner - Nurse Practitioner 0345627873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

960 W Sugarland Hwy
Clewiston, FL 33440-2701
Phone (863) 805-0189

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Jul 22, 2024 Accepting new patients
Brevard Geriatrics, LLC CurrentSince May 2, 2022 Accepting new patients
Dr GS Urgent Care LLC CurrentSince Aug 1, 2023 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jul 22, 2024 Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

960 W Sugarland Hwy
Clewiston, FL 33440
Phone (836) 805-0189

1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

720 E New Haven Ave
Ste 11
Melbourne, FL 32901
Phone (254) 236-5079

8050 Spyglass Rd
Viera, FL 32940
Phone (321) 752-1000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1649925009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E NEW HAVEN AVE STE 11",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015474",
            "telephone_number": "321-724-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E NEW HAVEN AVE STE 11",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015474",
            "telephone_number": "321-724-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1565 Mayowood Cir Unit 4249",
            "address_purpose": "LOCATION",
            "city": "West Melbourne",
            "state": "FL",
            "postal_code": "329044116",
            "country_code": "US",
            "telephone_number": "321-543-9269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "LAURA BETH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shari.gidden.brevardgeriatrics@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "720 E New Haven Ave Ste 11",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329015474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.