Individual provider Active NPI

Lakesha M Rowe, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1861859076
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9331644 Issued in FL
Practice address
2401 State Ave Ste 100
Panama City, FL 32405-3942
Phone
(850) 215-3062
Fax
(850) 215-3024
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9331644 FL
Nurse Practitioner 363L00000X APRN9331644 FL Primary

Addresses

Primary practice location

2401 State Ave Ste 100
Panama City, FL 32405-3942

Mailing address

PO Box 15459
Panama City, FL 32406-5459
Phone (850) 215-3062

Other practice location 1

10800 Panama City Beach Pkwy Ste 400
Panama City Beach, FL 32407-2532
Phone (850) 215-3062

Other identifiers 1

IdentifierTypeStateIssuer
019872000MedicaidFL

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
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9331644FLMDRegistered Nurse
APRN9331644FLMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lakesha.rowe@4137.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1861859076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15459",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324065459",
            "telephone_number": "850-215-3062",
            "fax_number": "850-215-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 STATE AVE STE 100",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053942",
            "telephone_number": "850-215-3062",
            "fax_number": "850-215-3024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Panama City Beach Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324072532",
            "country_code": "US",
            "telephone_number": "850-215-3062",
            "fax_number": "850-215-3024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWE",
        "first_name": "LAKESHA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9331644",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9331644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019872000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.