Individual provider Active NPI

Lianet Esther Coello Blanco, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1033748041
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006473 Issued in FL
Practice address
2540 Winkler Ave # 1
Fort Myers, FL 33901-9338
Phone
(239) 347-0810
NPI assigned
Apr 2, 2020
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 11006473 FL Primary

Addresses

Primary practice location

2540 Winkler Ave # 1
Fort Myers, FL 33901-9338

Mailing address

3514 NW 15TH St
Cape Coral, FL 33993-2506
Phone (786) 925-7779

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
I20210831000756 FL Practitioner - Nurse Practitioner 8921404955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marian Infectious Disease PLLCGroup PAC ID 0941620751, 2 clinicians

Practice addresses (Care Compare)

3050 Champion Ring Rd
Fort Myers, FL 33905-5599
Phone (646) 756-9337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006473FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalife Med LLC Family CurrentSince May 21, 2026 Accepting new patients
Marian Infectious Disease PLLC CurrentSince Mar 27, 2024 Accepting new patients

Locations

2540 Winkler Ave
Unit 1
Fort Myers, FL 33901

3050 Champion Ring Rd
Fort Myers, FL 33905
Phone (239) 313-2900

Organizations & group practices 2

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1033748041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 NW 15TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339932506",
            "telephone_number": "786-925-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 WINKLER AVE # 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019338",
            "telephone_number": "239-347-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COELLO BLANCO",
        "first_name": "LIANET",
        "middle_name": "ESTHER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.