Individual provider Active NPI

Lucy Duque Roberts, ARNP

  • Family Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1275642043
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 1449212 Issued in FL
Practice address
766 N. Sun Drive
Suite 2060
Lake Mary, FL 32746
Phone
(407) 936-3860
Fax
(407) 936-3866
NPI assigned
Aug 29, 2006
Last updated
May 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 1449212 FL Primary

Addresses

Primary practice location

766 N. Sun Drive
Suite 2060
Lake Mary, FL 32746

Mailing address

766 N Sun Dr
Ste 2060
Lake Mary, FL 32746
Phone (407) 936-3860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040506001121 FL Practitioner - Nurse Practitioner 1850380809 Reassigns benefits to 1 organization
I20180530000115 NY Practitioner - Nurse Practitioner 1850380809 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 1449212FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Orange Endocrinology, PA CurrentSince Sep 15, 2019 Accepting new patients
Liliana Lopez NP in Family Health PC Family CurrentSince Mar 3, 2018 Accepting new patients
Endocrine Associates of FL CurrentSince Jun 6, 2018 Accepting new patients

Locations

766 N Sun Dr
Ste 2060
Lake Mary, FL 32746
Phone (407) 260-6000

1510 Citrus Medical Ct
Ocoee, FL 34761
Phone (407) 480-4830

25 S Main St
Ste E
Spring Valley, NY 10977
Phone (845) 499-5496

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73554

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1275642043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 N SUN DR",
            "address_2": "STE 2060",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-936-3860",
            "fax_number": "407-936-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 N. SUN DRIVE",
            "address_2": "SUITE 2060",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-936-3860",
            "fax_number": "407-936-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LUCY",
        "middle_name": "DUQUE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 1449212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.