Individual provider Active NPI

Lauren P Johnson, ARNP

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1992026967
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN9247061 Issued in FL
Practice address
8075 Gate Parkway W
Suite 305
Jacksonville, FL 32216
Phone
(904) 269-2992
Fax
(904) 296-2993
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9247061 FL
Family Nurse Practitioner 363LF0000X 5004832 NC
Primary Care Nurse Practitioner 363LP2300X APRN9247061 FL Primary

Addresses

Primary practice location

8075 Gate Parkway W
Suite 305
Jacksonville, FL 32216

Mailing address

8075 Gate Parkway W
Suite 305
Jacksonville, FL 32216
Phone (904) 269-2992

Other identifiers 1

IdentifierTypeStateIssuer
004876400MedicaidFL

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
I20120523000583 FL Practitioner - Nurse Practitioner 8628240751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent'S Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

4203 Belfort Rd
Suite 204
Jacksonville, FL 32216-1463
Phone (904) 296-5688

4203 Belfort Rd
Suite 335
Jacksonville, FL 32216-1469
Phone (904) 659-1660

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9247061FLMDSpecialist
5004832NCMDFamily Nurse Practitioner
APRN9247061FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Aug 1, 2020 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Aug 1, 2020 Accepting new patients
Florida Woman Care, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

4203 Belfort Rd
Ste 335
Jacksonville, FL 32216
Phone (904) 296-5688

2771 Monument Rd
Ste 33
Jacksonville, FL 32225
Phone (904) 450-6090

4203 Belfort Rd
Ste 204
Jacksonville, FL 32216
Phone (904) 296-5688

8075 Gate Pkwy W
Ste 305
Jacksonville, FL 32216
Phone (904) 269-2992

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

300 Saint Elizabeth Way
Ste 155
St Johns, FL 32259
Phone (904) 308-1350

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lauren.johnson.1@8967.direct.athenahealth.com

Organizations & group practices 3

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1992026967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 GATE PARKWAY W",
            "address_2": "SUITE 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-269-2992",
            "fax_number": "904-296-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 GATE PARKWAY W",
            "address_2": "SUITE 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-269-2992",
            "fax_number": "904-296-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAUREN",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "9247061",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004832",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9247061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004876400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.