Individual provider Active NPI

Lydia B Apollo, CNM

  • Advanced Practice Midwife
  • Orange City, FL
National Provider Identifier
1093945115
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11044559 Issued in FL
Practice address
1061 Medical Center Dr
Orange City, FL 32763-8200
Phone
(386) 917-5000
NPI assigned
Jul 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11044559 FL Primary
Obstetrics & Gynecology Physician 207V00000X 13054 NC
Advanced Practice Midwife 367A00000X 441 NC

Addresses

Primary practice location

1061 Medical Center Dr
Orange City, FL 32763-8200

Mailing address

661 E Altamonte Dr Ste 318
Altamonte Springs, FL 32701-5103
Phone (407) 303-5204

Other identifiers 1

IdentifierTypeStateIssuer
7002133MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091008000543 NC Practitioner - Certified Nurse Midwife (CNM) 5193861912 Reassigns benefits to 5 organizations
I20260313000117 FL Practitioner - Certified Nurse Midwife (CNM) 5193861912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1061 Medical Ctr Dr
Suite 102
Orange City, FL 32763

137 Thistleton Way
St Augustine, FL 32092-3281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
13054NCMDPharmacist
441NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Current Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Oct 1, 2023 Accepting new patients
Unc Physicians Network LLC Obstetrics & Gynecology CurrentSince Jun 1, 2022 Accepting new patients
Diana Health FL P.a. Obstetrics & Gynecology CurrentSince Mar 5, 2026 Accepting new patients
Scotland Memorial Hospital, Inc Obstetrics & Gynecology CurrentSince Oct 1, 2023 Accepting new patients
Southeastern Regional Physician Services CurrentSince May 14, 2018 Accepting new patients
Southeastern Regional Physician Services Current Accepting new patients
Southeastern Regional Physician Services CurrentSince May 14, 2018 Accepting new patients
A Womans Place in Fayetteville PLLC Obstetrics & Gynecology CurrentSince Mar 13, 2017 Accepting new patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Jul 10, 2023 Accepting new patients
A Brighter Future Medical PastSince Sep 15, 2024 Accepting new patients

Locations

1061 Medical Center Dr
Ste 102
Orange City, FL 32763
Phone (386) 456-3852

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2053 Valleygate Dr
Ste 201
Fayetteville, NC 28304
Phone (910) 484-9020

105 McAlpine Ln
Laurinburg, NC 28352
Phone (910) 277-3331

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

4300 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 608-3078

800 Oakridge Blvd
Lumberton, NC 28358
Phone (910) 738-2454

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

24420 Marlboro St
Wagram, NC 28396
Phone (910) 369-3136

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: lapollo1860600@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/10421/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1093945115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 318",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015103",
            "telephone_number": "407-303-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 MEDICAL CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638200",
            "telephone_number": "386-917-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APOLLO",
        "first_name": "LYDIA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11044559",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "13054",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "441",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002133",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.