Active NPI
Lauren J Speas, ARNP
- Pediatric Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1992957559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN9216884
- Practice address
- 16261 Bass Rd
Suite 100
Fort Myers, FL 33908-3671 - Phone
- (239) 343-9890
- Fax
- (239) 343-9898
- NPI assigned
- Oct 15, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN9216884 | FL | Primary |
Addresses
Primary practice location
16261 Bass Rd
Suite 100
Fort Myers, FL 33908-3671
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-1400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9216884 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1992957559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-424-1400",
"fax_number": "239-424-1421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16261 BASS RD",
"address_2": "SUITE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083671",
"telephone_number": "239-343-9890",
"fax_number": "239-343-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAS",
"first_name": "LAUREN",
"middle_name": "J",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "RN9216884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Susanne Sparkman
- Jodi Ellen Spatharos, PA-C
- Speak Easy Therapeutics LLC
- Lizette Edmee Spears
- Ruthe Spears
- Specialists in Primary Healthcare Inc
- Specialists in Reproductive Medicine & Surgery, P.a.
- Specialists in Urology Surgery Center LLC
- Specialists in Urology, P.a.
- Spectra Behavioral Solutions, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.