Active NPI
Letoya Christian, NP
- Gerontology Nurse Practitioner
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11016488
- Practice address
- 13681 Doctors Way
Fort Myers, FL 33912-4300 - Phone
- (239) 323-1000
- NPI assigned
- Jan 3, 2022
- Last updated
- May 22, 2024
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11016488 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN11016488 | FL | Primary |
Addresses
Primary practice location
13681 Doctors Way
Fort Myers, FL 33912-4300
Mailing address
PO Box 483
Lehigh Acres, FL 33970-0483
Phone (239) 321-9445
Other practice location 1
13880 Shell Point Plz Ste 110
Fort Myers, FL 33908-3504
Phone (239) 454-2146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113336000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lchristian286057@Direct.leememorial.org | Direct | Lee Memorial Health System |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axel Health LLC | Current | Accepting new patients | |
| The Christian & Missionary Alliance Foundation Inc | Nurse Practitioner | Current | Accepting new patients |
| The Christian & Missionary Alliance Foundation Inc | Current | Accepting new patients |
Locations
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
13880 Shell Point Plz
Ste 110
Fort Myers, FL 33908
Phone (239) 454-2146
15000 Shell Point Blvd
Ste 100
Fort Myers, FL 33908
Phone (813) 454-1111
15051 Shell Point Blvd
Fort Myers, FL 33908
Phone (239) 454-2146
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
8100 Arbor Ct
Fort Myers, FL 33908
Phone (239) 454-2146
Interoperability endpoints
- lchristian286057@direct.leememorial.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1578968749
-
dba Shell Point
- General Practice Physician
- Fort Myers, FL
- NPI 1821160607
Nurse Practitioner
-
dba Shell Point Home Health
- Home Health Agency
- Fort Myers, FL
- NPI 1932766953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1154082139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 483",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339700483",
"telephone_number": "239-321-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13681 DOCTORS WAY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124300",
"telephone_number": "239-323-1000"
}
],
"practiceLocations": [
{
"address_1": "13880 Shell Point Plz Ste 110",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339083504",
"country_code": "US",
"telephone_number": "239-454-2146",
"fax_number": "239-454-2111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "LETOYA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11016488",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11016488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113336000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lchristian286057@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.