Individual provider Active NPI

Jamie Lea Laakmann

  • Gerontology Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1801449624
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AG06190285 Issued in FL
Practice address
14890 Bartram Creek Blvd
Jacksonville, FL 32259-7044
Phone
(317) 437-0048
NPI assigned
Jul 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AG06190285 FL Primary

Addresses

Primary practice location

14890 Bartram Creek Blvd
Jacksonville, FL 32259-7044

Mailing address

14890 Bartram Creek Blvd
Jacksonville, FL 32259-7044

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
I20191122001275 FL Practitioner - Nurse Practitioner 7416389838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Healthcare Resources LLCGroup PAC ID 0345305876, 29 clinicians

Practice addresses (Care Compare)

4200 NW 90TH Blvd
Gainesville, FL 32606-3809
Phone (844) 558-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AG06190285FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Healthcare Resources LLC CurrentSince Sep 11, 2025 Accepting new patients
Haven Medical Group, LLC CurrentSince Jun 20, 2025 Accepting new patients
North Central Florida Hospice, Inc. Past Accepting new patients
Abode Hospice of Florida, LLC Past Accepting new patients

Locations

2200 S Bowman Rd
Ste A
Little Rock, AR 72211
Phone (501) 558-4100

4200 NW 90th Blvd
Gainesville, FL 32606
Phone (352) 378-2121

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": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563667200000",
    "number": "1801449624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14890 BARTRAM CREEK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322597044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14890 BARTRAM CREEK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322597044",
            "telephone_number": "317-437-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAAKMANN",
        "first_name": "JAMIE",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-21",
        "last_updated": "2019-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "AG06190285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.