Individual provider Active NPI

Leticia Mora, FNP

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1184259053
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005602 Issued in FL
Practice address
8917 NW 146TH Ter
Miami Lakes, FL 33018-7311
Phone
(305) 761-0324
NPI assigned
Mar 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-APN.0101975-C-NP CO
Family Nurse Practitioner 363LF0000X 11005602 FL Primary

Addresses

Primary practice location

8917 NW 146TH Ter
Miami Lakes, FL 33018-7311

Mailing address

8917 NW 146TH Ter
Miami Lakes, FL 33018-7311
Phone (305) 761-0324

Other practice location 1

10465 Melody Dr Ste 123
Northglenn, CO 80234-4101
Phone (718) 819-6144

Other practice location 2

15310 Amberly Dr # 66
Tampa Palms, FL 33647-2199
Phone (718) 819-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MIAMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

375 E Central Ave
Second Floor Suite 377
Winter Haven, FL 33880-3047

8917 NW 146TH Ter
Miami Lakes, FL 33018-7311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11005602FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1184259053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8917 NW 146TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330187311",
            "telephone_number": "305-761-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8917 NW 146TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330187311",
            "telephone_number": "305-761-0324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10465 Melody Dr Ste 123",
            "address_purpose": "LOCATION",
            "city": "Northglenn",
            "state": "CO",
            "postal_code": "802344101",
            "country_code": "US",
            "telephone_number": "718-819-6144",
            "fax_number": "718-819-6145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15310 Amberly Dr # 66",
            "address_purpose": "LOCATION",
            "city": "Tampa Palms",
            "state": "FL",
            "postal_code": "336472199",
            "country_code": "US",
            "telephone_number": "718-819-6144",
            "fax_number": "718-819-6145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "LETICIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0101975-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MIAMI",
            "affiliation": "N",
            "address_1": "8917 NW 146th Ter",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330187311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.