Individual provider Active NPI

Lino Lopez, NP

  • Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1003884453
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN3256922 Issued in FL
Practice address
550 E. Dixie Avenue
LRMC Urgent Care
Leesburg, FL 34748
Phone
(352) 323-2273
NPI assigned
Mar 10, 2006
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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 APRN3256922 FL Primary

Addresses

Primary practice location

550 E. Dixie Avenue
LRMC Urgent Care
Leesburg, FL 34748

Mailing address

PO Box 100222
Gainesville, FL 32610-0222
Phone (352) 392-4321

Other identifiers 2

IdentifierTypeStateIssuer
ARNP3256922OtherFLPROFESSIONAL LICENSE
P00295594OtherRR MCR

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
I20050919000554 FL Practitioner - Nurse Practitioner 4284668377 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN3256922FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Feb 17, 2022 Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Feb 1, 2020 Accepting new patients
Villages Tri-County Medical Center Inc. CurrentSince Jul 28, 2012 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Feb 17, 2022 Accepting new patients
Ridgewood Emergency Group, LLC Nurse Practitioner CurrentSince May 21, 2021 Accepting new patients
Villages Tri-County Medical Center Inc. CurrentSince Jul 28, 2012 Accepting new patients
Ridgewood Emergency Group, LLC Nurse Practitioner CurrentSince May 21, 2021 Accepting new patients
Paragon Emergency Services LLC Nurse Practitioner CurrentSince Jun 25, 2016 Accepting new patients
Leesburg Regional Medical Center Physician Services LLC Past Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

550 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-2273

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

601 E Dixie Ave
Ste 801
Leesburg, FL 34748
Phone (352) 323-1405

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1501 N US Highway 441
Ste 1830
The Villages, FL 32159
Phone (352) 391-9200

17430 Bali Blvd
Winter Garden, FL 34787
Phone (863) 419-2496

Interoperability endpoints

  • Direct secure messaging: llopez559533@direct.shands.ufl.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1003884453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100222",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100222",
            "telephone_number": "352-392-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E. DIXIE AVENUE",
            "address_2": "LRMC URGENT CARE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-323-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LINO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2022-03-17",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN3256922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "ARNP3256922",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00295594",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.