Organization Active NPI

Lizwell LLC

  • Family Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1033064548
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LIZWELL LLC
Practice address
17011 State Road 50
Clermont, FL 34711-8203
Phone
(352) 353-2208
Fax
(352) 227-3975
NPI assigned
Mar 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Mrs. Elizabeth Jean Humbert, MSN, APRN, FNP-BCNPI 1780536896
Title
Owner
Phone
(757) 672-5073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

17011 State Road 50
Clermont, FL 34711-8203

Mailing address

19941 Eagle Run FL 34736
Groveland, FL 34736-8401
Phone (757) 672-5073

Other practice location 1

19941 Eagle Run
Groveland, FL 34736-8401
Phone (757) 672-5073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260413000486 FL Part B Supplier - Clinic/Group Practice 7810462363 Receives reassigned benefits from 1 practitioner
Practice locations: Clermont, FL

National Provider Directory

National Provider Directory

Locations

17011 State Road 50
Clermont, FL 34711
Phone (352) 353-2208

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1033064548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19941 EAGLE RUN FL 34736",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347368401",
            "telephone_number": "757-672-5073",
            "fax_number": "757-672-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17011 STATE ROAD 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118203",
            "telephone_number": "352-353-2208",
            "fax_number": "352-227-3975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19941 Eagle Run",
            "address_purpose": "LOCATION",
            "city": "Groveland",
            "state": "FL",
            "postal_code": "347368401",
            "country_code": "US",
            "telephone_number": "757-672-5073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIZWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-01",
        "status": "A",
        "authorized_official_last_name": "HUMBERT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-672-5073",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.