Andrea Mae Lilavois, ARNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

9275357 Issued in FL

Practice address

1845 Holsonback Dr
Daytona Beach, FL 32117-5114

Phone

(386) 274-0500

NPI assigned

Jan 5, 2015

Last updated

May 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Mae Lewsey Former name

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.

Opted out of Medicare

Previously, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1235527813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 PRIMERA BLVD STE 1031",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462124",
            "telephone_number": "407-834-8111",
            "fax_number": "407-834-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 HOLSONBACK DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175114",
            "telephone_number": "386-274-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILAVOIS",
        "first_name": "ANDREA",
        "middle_name": "MAE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "9275357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LEWSEY",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Libra 85
• Libra Healthcare LLC (Medicine Shoppe)
• Andrea Licari-Critchley, LPC, LMHC, NCC, MA
• Mary Cynthia Liebler, RD
• Life Individual Family Enrichment Services (Life)
• Samantha Lilly, OTR/L, MSOT, CPAM
• Peter Lim, DMD
• Suh Yueh Lim, M.D.
• Bo Lin, M.D., PH.D.
• Danielle Lorraine Lindmeyer, R.D.H.

• Obstetrics & Gynecology Nurse Practitioner in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.