Individual provider Active NPI

Kayla Lanoue, APRN

  • Nurse Practitioner
  • Titusville, FL
National Provider Identifier
1932085081
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11041040 Issued in FL
Practice address
1240 Grumman PL
Titusville, FL 32780-7934
Phone
(321) 290-0593
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11041040 FL Primary
Family Nurse Practitioner 363LF0000X APRN11041040 FL

Addresses

Primary practice location

1240 Grumman PL
Titusville, FL 32780-7934

Mailing address

1240 Grumman PL
Titusville, FL 32780-7934

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
I20250918004018 FL Practitioner - Nurse Practitioner 3274037544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care of Central Florida IncGroup PAC ID 8628094018, 39 clinicians

Practice addresses (Care Compare)

12301 Lake Underhill Rd
Suite 215
Orlando, FL 32828-4511
Phone (321) 235-0692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11041040FLMDNurse Practitioner
APRN11041040FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Central Florida Inc CurrentSince Feb 4, 2026 Accepting new patients
Doctors at Home Tri County CurrentSince Jan 9, 2026 Accepting new patients

Locations

12301 Lake Underhill Rd
Ste 215
Orlando, FL 32828
Phone 3212350692102

3564 E Avalon Park Blvd
Orlando, FL 32828
Phone (407) 405-4741

11954 Narcoossee Rd
Ste 2504
Orlando, FL 32832
Phone (800) 925-1840

1417 Hamlin Ave
Unit F
Saint Cloud, FL 34771
Phone (800) 925-1840

Organizations & group practices 2

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": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1932085081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 GRUMMAN PL",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 GRUMMAN PL",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807934",
            "telephone_number": "321-290-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANOUE",
        "first_name": "KAYLA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11041040",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11041040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.