Individual provider Active NPI

Devika B Lutchmidat, FNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1114416740
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9332051 Issued in FL
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

Updated by the provider on Jan 13, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200109000835 FL Practitioner - Nurse Practitioner 3779918347 Reassigns benefits to 2 organizations

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
Orlando Transitional Care Specialists LLCGroup PAC ID 0143502831, 9 clinicians

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

OrganizationSpecialtyStatusNew patients
Orlando Tele Clinic LLC CurrentSince Jan 1, 2024 Accepting new patients
Orlando Transitional Care Specialists LLC CurrentSince Jun 1, 2025 Accepting new patients
Axiomhealth Management LLC PastSince Mar 22, 2017 Accepting new patients
Imac Hospitalists LLC PastSince Feb 18, 2024 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.

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

Verify at the official NPI Registry.