Individual provider Active NPI

Lazara Garcia Cabezas

  • Family Nurse Practitioner
  • Lehigh Acres, FL
National Provider Identifier
1003415092
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009667 Issued in FL
Practice address
50 Joel Blvd
Lehigh Acres, FL 33936-2302
Phone
(239) 491-9929
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11009667 FL Primary

Addresses

Primary practice location

50 Joel Blvd
Lehigh Acres, FL 33936-2302

Mailing address

4453 Pincushion St
North Port, FL 34286-5458

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
I20210524002443 FL Practitioner - Nurse Practitioner 2062811045 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Community Physicians of North Port, PAGroup PAC ID 7214950823, 4 clinicians

Practice addresses (Care Compare)

13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900

14400 Tamiami TRL
North Port, FL 34287-2703
Phone (941) 423-5056

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of North Port PA CurrentSince Jul 27, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Mar 23, 2026 Accepting new patients
Millennium Physician Group LLC CurrentSince Mar 23, 2026 Accepting new patients

Locations

13815 Tamiami Trl
North Port, FL 34287
Phone (941) 426-4900

14400 Tamiami Trl
North Port, FL 34287
Phone (941) 423-5056

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1003415092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4453 PINCUSHION ST",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342865458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 JOEL BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339362302",
            "telephone_number": "239-491-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA CABEZAS",
        "first_name": "LAZARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.