Active NPI
Brenda Lee McFadden, APRN
- Family Nurse Practitioner
- Lakeland, FL
National Provider Identifier
1124450465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11000827
- Practice address
- 3810 S Florida Ave Ste 120
Lakeland, FL 33813-1129 - Phone
- (863) 858-8000
- Fax
- (877) 531-4854
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11000827 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | 3008141 | KY |
Addresses
Primary practice location
3810 S Florida Ave Ste 120
Lakeland, FL 33813-1129
Mailing address
3810 S Florida Ave Ste 120
Lakeland, FL 33813-1129
Phone (863) 858-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111317000 | Medicaid | FL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210120000612 | FL | Practitioner - Nurse Practitioner | 5496971665 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3008141 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Family Physicians, LLC | Past | Accepting new patients | |
| Idelis Fedeslinda Arias de la Torre | Past | Accepting new patients | |
| Doctor Today TLC, LLC | Past | Accepting new patients | |
| Doctor Today TLC, LLC | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Lakeland, FL
- NPI 1669400347
-
- Primary Care Clinic/Center
- Lakeland, FL
- NPI 1861689796
-
- General Practice Physician
- Seffner, FL
- NPI 1639747595
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1124450465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 S FLORIDA AVE STE 120",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338131129",
"telephone_number": "863-858-8000",
"fax_number": "877-531-4854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 S FLORIDA AVE STE 120",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338131129",
"telephone_number": "863-858-8000",
"fax_number": "877-531-4854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFADDEN",
"first_name": "BRENDA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11000827",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3008141",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111317000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.