Active NPI
Laura J Pellegrini, APRN
- Family Nurse Practitioner
- Lakeland, FL
National Provider Identifier
1982135687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN2893322
- Practice address
- 1755 N Florida Ave
Lakeland, FL 33805-3109 - Phone
- (863) 680-7243
- Fax
- (866) 264-8519
- NPI assigned
- Mar 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP2893322 | FL | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | ARNP2893322 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN2893322 | FL | Primary |
Addresses
Primary practice location
1755 N Florida Ave
Lakeland, FL 33805-3109
Mailing address
1600 Lakeland Hills Blvd.
Lakeland, FL 33805-3065
Phone (863) 680-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lpellegrini18809@direct.watsonclinicad.com | Watson Clinic LLP |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN2893322 | FL | MD | Family Nurse Practitioner |
| ARNP2893322 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Interoperability endpoints
- laura.pellegrini.1@14940.direct.athenahealth.com
- lpellegrini18809@direct.watsonclinicad.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1982135687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 LAKELAND HILLS BLVD.",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053065",
"telephone_number": "863-680-7000",
"fax_number": "866-264-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 N FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053109",
"telephone_number": "863-680-7243",
"fax_number": "866-264-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLEGRINI",
"first_name": "LAURA",
"middle_name": "J",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2023-11-27",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP2893322",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "ARNP2893322",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN2893322",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lpellegrini18809@direct.watsonclinicad.com",
"affiliation": "Y",
"endpointDescription": "Direct Messaging Address",
"affiliationName": "Watson Clinic LLP",
"address_1": "1430 Lakeland Hills Blvd",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338053202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.