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LAURA GHASSEMINIA
NPI 1700329026
Nurse Practitioner - Family in Jacksonville Beach, FL

Active since November 18, 2016Opted out of Medicare · through Apr 1, 2028
2320 3RD ST S STE 1, JACKSONVILLE BEACH, FL 32250(904) 339-8204(904) 217-5104 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura Ghasseminia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA GHASSEMINIA (NPI 1700329026) is an individual family provider in Jacksonville Beach, Florida, licensed in Florida (ARNP9383728) and active in the NPI registry since November 2016. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1700329026
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAURA GHASSEMINIA
Location Address2320 3RD ST S STE 1Jacksonville Beach, FL 32250-4057
Mailing Address11820 Heather Grove LnJacksonville, FL 32223-1954 · (904) 568-8969
Phone(904) 339-8204
Fax(904) 217-5104
Sole ProprietorYes
Enumeration DateNovember 18, 2016
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1700329026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9383728
2320 3RD ST S STE 1, Jacksonville Beach, FL 32250
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Laura Ghasseminia has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Ghasseminia's NPI number?

The NPI number for Laura Ghasseminia is 1700329026. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Laura Ghasseminia located?

Laura Ghasseminia practices at 2320 3rd St S Ste 1, Jacksonville Beach, FL 32250. The listed phone number is (904) 339-8204.

What is Laura Ghasseminia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Laura Ghasseminia enrolled in Medicare?

No. Laura Ghasseminia has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Laura Ghasseminia was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.