Active NPI
Laura Ghasseminia
- Family Nurse Practitioner
- Jacksonville Beach, FL
National Provider Identifier
1700329026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9383728
- Practice address
- 2320 3Rd St S Ste 1
Jacksonville Beach, FL 32250-4057 - Phone
- (904) 339-8204
- Fax
- (904) 217-5104
- NPI assigned
- Nov 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9383728 | FL | Primary |
Addresses
Primary practice location
2320 3Rd St S Ste 1
Jacksonville Beach, FL 32250-4057
Mailing address
11820 Heather Grove LN
Jacksonville, FL 32223-1954
Phone (904) 568-8969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9383728 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1700329026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11820 HEATHER GROVE LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231954",
"telephone_number": "904-568-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 3RD ST S STE 1",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322504057",
"telephone_number": "904-339-8204",
"fax_number": "904-217-5104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHASSEMINIA",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-18",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9383728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.