Active NPI
Devika B Lutchmidat, FNP
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9332051
- Practice address
- 11954 Narcoossee Rd Ste 2-167
Orlando, FL 32832-6998 - Phone
- (407) 335-3549
- Fax
- (866) 366-6603
- NPI assigned
- May 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9332051 | FL | Primary |
Addresses
Primary practice location
11954 Narcoossee Rd Ste 2-167
Orlando, FL 32832-6998
Mailing address
1204 Stone Harbour Rd
Winter Springs, FL 32708-4738
Phone (407) 615-0563
Other practice location 1
13800 Veterans Way
Orlando, FL 32827-7401
Phone (407) 631-1109
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11954 Narcoossee Rd
Orando, FL 32832-6998
Phone (407) 335-3549
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Tele Clinic LLC | Current | Accepting new patients | |
| Orlando Transitional Care Specialists LLC | Current | Accepting new patients | |
| Axiomhealth Management LLC | Past | Accepting new patients | |
| Imac Hospitalists LLC | Past | Accepting new patients |
Locations
654 N Econlockhatchee Trl
Orlando, FL 32825
Phone (407) 273-6158
11954 Narcoossee Rd
Ste 2
Orlando, FL 32832
Phone (407) 335-3549
250 S Chickasaw Trl
Orlando, FL 32825
Phone (407) 380-3466
Organizations & group practices 4
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.
-
dba Orlando Tele Clinic
- Internal Medicine Physician
- Orlando, FL
- NPI 1164973251
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1720733520
-
dba EdemaCare
- Rehabilitation Clinic/Center
- Altamonte Springs, FL
- NPI 1912456799
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1720979776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705104000000",
"number": "1114416740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 STONE HARBOUR RD",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327084738",
"telephone_number": "407-615-0563",
"fax_number": "407-542-8059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11954 NARCOOSSEE RD STE 2-167",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328326998",
"telephone_number": "407-335-3549",
"fax_number": "866-366-6603"
}
],
"practiceLocations": [
{
"address_1": "13800 Veterans Way",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328277401",
"country_code": "US",
"telephone_number": "407-631-1109",
"fax_number": "407-513-9660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUTCHMIDAT",
"first_name": "DEVIKA",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-09",
"last_updated": "2024-01-13",
"certification_date": "2024-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9332051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.