LARAINE M MOUTHAAN


Address: 3840 Broadway, Fort Myers, FL 33901-8108
Phone: 2392756400

LARAINE M MOUTHAAN (NPI# 1558665109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558665109
Entity Type Individual
Full Name LARAINE M MOUTHAAN
Credential ARNP
Practice Address 3840 Broadway
Fort Myers
FL 33901-8108
Mailing Address 4371 Veronica S Shoemaker Blvd
Fort Myers
FL 33916-2216
Practice Telephone 2392756400
Practice Fax Number 2392750178
Mailing Telephone 2392748200
Mailing Fax Number 2392783350
Enumeration Date 2010-12-22
Last Update Date 2011-04-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARNP2699572 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3840 BROADWAY
City FORT MYERS
State FL
Zip Code 33901-8108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861483166 Brian K. Kim Internal Medicine 3840 Broadway, Fort Myers, FL 33901-8108 2005-11-04
1033383351 Ryan K Olson Pathology 3840 Broadway, Fort Myers, FL 33901-8108 2008-04-17
1811187909 Syed Farhan Zafar Internal Medicine 3840 Broadway, Florida Cancer Specialists P L, Fort Myers, FL 33901-8108 2007-07-26
1881770659 Van G Rana Internal Medicine 3840 Broadway, Fort Myers, FL 33901-8108 2006-10-27
1932217148 Florida Cancer Specialists P L Internal Medicine 3840 Broadway, Fort Myers, FL 33901-8108 2006-08-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811536972 Daniel Wolfe Speech-Language Pathologist 3375 Evans Avenue, Fort Myers, FL 33901 2020-01-06
1841764065 Medicab Transportation, LLC Ambulance 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 2019-01-22
1760963649 Jamies Home Care Services LLC Home Health 1944 Suwanee Ave, Fort Myers, FL 33901 2018-08-28
1942673900 Adriana Ramnarine Dietitian, Registered 2727 Winkler Ave., Fort Myers, FL 33901 2015-11-12
1215327093 Carecommunity Inc. Foster Care Agency 4066 Evans Ave Ste 4, Fort Myers, FL 33901 2015-01-30
1013327832 Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC Chiropractor 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 2014-05-01
1588087076 Larry Philip Garrett Family Medicine 3543 Stuart Ct, Fort Myers, FL 33901 2014-02-04
1144657479 Janet M Michael Registered Nurse 3763 Evans Ave., Fort Myers, FL 33901 2013-10-01
1366879785 Gina Lee Guerrero Licensed Practical Nurse 3736 Evans Ave, Fort Myers, FL 33901 2013-09-30
1396186649 Ronald Edward Trapp Dentist 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 2013-07-16
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093330714 Renuka Jackson Nurse Practitioner 6150 Diamond Centre Ct Unit 100, Fort Myers, FL 33912-4367 2020-06-09
1386101798 Debra Lee Sicilian Nurse Practitioner 2327 Jeffcott St, Fort Myers, FL 33901-5211 2019-02-22
1619452877 Kamila Shurii Tursi Nurse Practitioner 6631 Orion Dr Ste 110, Fort Myers, FL 33912-4333 2018-10-03
1003396714 Carmalee Martin Nurse Practitioner 9341 Via San Giovani St, Fort Myers, FL 33905-5564 2018-08-21
1740779701 Dedra Dawn Coop Nurse Practitioner 13300 S Cleveland Ave Ste 56, Fort Myers, FL 33907-3871 2018-05-05
1073039087 Ruth Milien Jonathas Nurse Practitioner 16420 Healthpark Commons Dr Ste 100, Fort Myers, FL 33908-9621 2017-08-21
1396283578 Jerry Hernandez Sr. Nurse Practitioner 12731 World Plaza Ln Bldg 83, Fort Myers, FL 33907-4081 2017-02-07
1730622598 Valerie Starnes Nurse Practitioner 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 2016-11-28
1942752134 Lauren Chandler Masters Nurse Practitioner 14300 Riva Del Lago Dr Apt 704, Fort Myers, FL 33907-7804 2016-11-04
1467706192 Kerry Spillane Nurse Practitioner 9981 S. Healthpark Dr, Fort Myers, FL 33908-3618 2012-11-02
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Competitor

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City FORT MYERS
Zip Code 33901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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