Lolita Condino Massengill, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

ARNP2007072 Issued in FL

Practice address

6665 Banbury Road
Jacksonville, FL 32211

Phone

(904) 745-9333

Fax

(904) 743-0046

NPI assigned

Oct 6, 2005

Last updated

Mar 22, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zhi Yu, MD, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Jacksonville, FL
  • NPI 1316273535
  Medicare reassignment NPD
• Oceanway Medical Center, Inc.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1245255199
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1871581660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 MOTOR YACHT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254029",
            "telephone_number": "904-565-1641",
            "fax_number": "904-996-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6665 BANBURY ROAD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32211",
            "telephone_number": "904-745-9333",
            "fax_number": "904-743-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSENGILL",
        "first_name": "LOLITA",
        "middle_name": "CONDINO",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP2007072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300697200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Ashraf Masoudipoya Moore, DMD
• Ghania Masri, M.D.
• Massage in Session, Inc.
• Massage Trinity Group
• Anthony Massaro, MD, DMD
• Samantha Jade Massengill
• Bobbie Massey-Hollifield, LCSW
• Angela M Massey, ARNP
• Brittany Massey, CLD, CPD, CLSE
• Mallory R Massey, OTR/L

• Gerontology Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.