Andrew Jesus Lazo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11039812 Issued in FL

Practice address

1400 N Semoran Blvd BLDG Suitee
Orlando, FL 32807-3536

Phone

(407) 823-8421

Fax

(407) 823-8195

NPI assigned

May 29, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Central Florida Hospitalist Partners PA

  • Hospitalist Physician
  • Orlando, FL
  • NPI 1558381921

  FL, Multi-Specialty

  Medicare reassignment NPD
• Compass Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1891089421

  FL, Multi-Specialty

  Medicare reassignment NPD
• Compass Counseling Services,LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1790157626
  NPD (past)
• Professional Psychiatric Services, LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1679562797

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1104719137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N SEMORAN BLVD BLDG SUITEE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073536",
            "telephone_number": "407-823-8421",
            "fax_number": "407-823-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N SEMORAN BLVD BLDG SUITEE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073536",
            "telephone_number": "407-823-8421",
            "fax_number": "407-823-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZO",
        "first_name": "ANDREW",
        "middle_name": "JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11039812",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11039812",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11039812",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11039812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Lazaro
• Chabellie Lazaro
• Stefani Lazarova-Eusebio, FNP
• Lazarus Mobility Group LLC
• Kristina Lazarus
• LBL Counseling
• LC Beyond Smiles, LLC
• LC Eye Center Inc
• LDS Family Services
• Patricia Ann Le Doux, MD

• All providers in Orlando, FL
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.