Individual provider Active NPI

Laurette Cornel, ARNP

  • Family Nurse Practitioner
  • Port Orange, FL
National Provider Identifier
1942691373
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9237591 Issued in FL
Practice address
1690 Dunlawton Ave
Suite 120
Port Orange, FL 32127-8979
Phone
(386) 481-6674
NPI assigned
Feb 6, 2015
Last updated
Sep 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9237591 FL Primary

Addresses

Primary practice location

1690 Dunlawton Ave
Suite 120
Port Orange, FL 32127-8979

Mailing address

1690 Dunlawton Ave
Ste 120
Port Orange, FL 32127-8980
Phone (386) 481-6674

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
I20150312002380 FL Practitioner - Nurse Practitioner 4789900598 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excellence Health LLCGroup PAC ID 0840534160, 49 clinicians
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians
Sound Physicians of Florida VI LLCGroup PAC ID 1759802333, 141 clinicians

Practice addresses (Care Compare)

1630 Mason Ave
Suite C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9237591FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Volusia Hospitalists PLC CurrentSince Jul 24, 2015 Accepting new patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Apr 7, 2021 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Apr 7, 2021 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince May 28, 2020 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Sound Physicians of Florida VI LLC CurrentSince Feb 5, 2025 Accepting new patients
Excellence Health, LLC CurrentSince Jan 17, 2026 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Jun 1, 2017 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Apr 7, 2021 Accepting new patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Apr 7, 2021 Accepting new patients
Santiago W Calderon MD PA CurrentSince Sep 28, 2016 Accepting new patients

Locations

1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064

301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-3906

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160

3300 E Halifax Crossing Blvd
Deltona, FL 32725
Phone (386) 425-1800

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

2029 Professional Center Dr
Orange Park, FL 32073
Phone (904) 264-8621

103 Clyde Morris Blvd
Ormond Beach, FL 32174
Phone (386) 673-0450

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

400 Health Park Blvd
Ste 300
St Augustine, FL 32086
Phone (904) 819-4082

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

3100 E Fletcher Ave
#C
Tampa, FL 33613

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

490 S Old Wire Rd
Wildwood, FL 34785
Phone (352) 748-3322

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: lcornel740282@direct.shands.ufl.edu

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1942691373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE",
            "address_2": "STE 120",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278980",
            "telephone_number": "386-481-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE",
            "address_2": "SUITE 120",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278979",
            "telephone_number": "386-481-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEL",
        "first_name": "LAURETTE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9237591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.