Koanaki Mercado, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN9512859 Issued in FL

Practice address

4224 W Gulf to Lake Hwy
Lecanto, FL 34461-9215

Phone

(352) 513-3482

Fax

(352) 513-3489

NPI assigned

Mar 27, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Koanaki Rivera Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1265234256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 N CREEK WAY",
            "city": "CITRUS SPRINGS",
            "state": "FL",
            "postal_code": "344346907",
            "telephone_number": "727-858-1838",
            "fax_number": "727-858-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 W GULF TO LAKE HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619215",
            "telephone_number": "352-513-3482",
            "fax_number": "352-513-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "KOANAKI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9512859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOANAKI",
            "last_name": "RIVERA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meadowcrest Family Physicians, P.a.
• Meadowcrest Healthcare Services LLC
• Meadowcrest Healthcare Services LLC
• Medical Risk Solutions
• Vanessa Lynn Mellott, PHARM. D.
• Graciany Miranda Grajales, M.D.
• Michelle Lynn Mitchell, APRN
• Donna M Montieth, M.S.
• Amaya Morales, OTR
• Cathy K Morey

• General Practice Registered Nurse in Lecanto, FL
• Providers in Lecanto, FL by specialty
• General Practice Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.