Individual provider Active NPI

Laura Templeton, ARNP

  • Nurse Practitioner
  • Temple Terrace, FL
National Provider Identifier
1992886857
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3060102 Issued in FL
Practice address
12470 Telecom Dr Ste 301
Temple Terrace, FL 33637-0904
Phone
(813) 871-8111
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3060102 FL Primary

Addresses

Primary practice location

12470 Telecom Dr Ste 301
Temple Terrace, FL 33637-0904

Mailing address

2501 N Orange Ave
Suite 235
Orlando, FL 32804-4603
Phone (407) 303-2906

Other practice location 1

2501 N Orange Ave
Suite 235
Orlando, FL 32804-4603
Phone (407) 303-2906

Other identifiers 1

IdentifierTypeStateIssuer
000992000MedicaidFL

Other names 1

  • Laura T Keith Former name

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
I20091023000705 FL Practitioner - Nurse Practitioner 9739226762 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3060102FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Health Services LLC CurrentSince Jan 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Aug 8, 2017 Accepting new patients
Cornerstone Health Services LLC Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 8, 2017 Accepting new patients
Adventist Health System Sunbelt Inc Past Accepting new patients
Adventist Health Systems Sunbelt Inc Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

2501 N Orange Ave
Ste 235
Orlando, FL 32804
Phone (407) 303-1967

7975 Lake Underhill Rd
Ste 200
Orlando, FL 32822
Phone (407) 303-5990

2445 Lane Park Rd
Tavares, FL 32778
Phone (866) 280-9355

12470 Telecom Dr
Ste 301
Temple Terrace, FL 33637
Phone (423) 707-8678

Interoperability endpoints

  • Direct secure messaging: laura.keith.1@22792.direct.athenahealth.com

Organizations & group practices 6

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1992886857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE",
            "address_2": "SUITE 235",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044603",
            "telephone_number": "407-303-2906",
            "fax_number": "407-303-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12470 TELECOM DR STE 301",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370904",
            "telephone_number": "813-871-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 N Orange Ave",
            "address_2": "Suite 235",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328044603",
            "country_code": "US",
            "telephone_number": "407-303-2906",
            "fax_number": "407-303-7126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPLETON",
        "first_name": "LAURA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3060102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000992000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KEITH",
            "middle_name": "T",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.