Active NPI
Gina M Lafountain, NP
- Nurse Practitioner
- Naples, FL
National Provider Identifier
1730356668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9429700
- Practice address
- 350 7TH St N
Naples, FL 34102-5754 - Phone
- (239) 624-3997
- Fax
- (239) 624-8101
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | F430227-1 | NY | |
| Nurse Practitioner | 363L00000X | ARNP9429700 | FL | Primary |
Addresses
Primary practice location
350 7TH St N
Naples, FL 34102-5754
Mailing address
350 7TH St N
Naples, FL 34102-5754
Phone (239) 624-3997
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02580321 | Medicaid | NY | |
| P8REW | Other | FL | BCBS |
| PENDING | Medicaid | FL |
Other names 1
- Gina M Lewis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F430227-1 | NY | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1730356668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 7TH ST N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025754",
"telephone_number": "239-624-3997",
"fax_number": "239-624-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 7TH ST N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025754",
"telephone_number": "239-624-3997",
"fax_number": "239-624-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFOUNTAIN",
"first_name": "GINA",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "F430227-1",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9429700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02580321",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P8REW",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "LEWIS",
"middle_name": "M",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.