Active NPI
Christina Lee Morales, APRN
- Family Nurse Practitioner
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11002827
- Practice address
- 16461 Domestic Avenue
Fort Myers, FL 33912-3391 - Phone
- (772) 667-7688
- Fax
- (603) 952-3900
- NPI assigned
- Jun 21, 2019
- Last updated
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11002827 | FL | Primary |
Addresses
Primary practice location
16461 Domestic Avenue
Fort Myers, FL 33912-3391
Mailing address
16461 Domestic Avenue
Fort Myers, FL 33912-6008
Phone (772) 667-7688
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1004 N Parrott Ave
Okeechobee, FL 34972-2110
Phone (863) 226-5466
27612 Cashford Cir
Suite 102
Wesley Chapel, FL 33544-6954
Phone (813) 991-1457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11002827 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Blue Ocean Dermatology LLC | Current | Accepting new patients | |
| Blue Ocean Deramtology LLC | Past | Accepting new patients | |
| Blue Ocean Deramtology LLC | Past | Accepting new patients | |
| Dermatology on the Spot, LLC | Past | Accepting new patients | |
| Blue Ocean Deramtology LLC | Past | Accepting new patients |
Locations
1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474
2672 Lpga Blvd
Daytona Beach, FL 32124
Phone 3862561444 ext. 505
105 N Duss St
New Smyrna Beach, FL 32168
Phone 3862561444 ext. 505
1004 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 357-7447
1425 Hand Ave
Ste C
Ormond Beach, FL 32174
Phone 3862561444110
1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100
57 Town Ct
Ste 119
Palm Coast, FL 32164
Phone 3862561444 ext. 505
3951 S Nova Rd
Ste 3
Port Orange, FL 32127
3951 S Nova Rd
Pt Orange, FL 32127
Phone (386) 763-4484
4110 US 27 N
Ste 102
Sebring, FL 33870
1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812
27612 Cashford Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 991-1457
1840 Greenwich Ave
Winter Park, FL 32789
Phone (407) 644-4212
Networks
- Freedom Health HMO Network
Interoperability endpoints
- christina@blueoceanderm.emadirect.md
Organizations & group practices 7
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.
-
- Dermatology Physician
- Port Orange, FL
- NPI 1992045272
-
dba Advanced Dermatology and Cosmetic Surq
- Dermatology Physician
- Sebastian, FL
- NPI 1083872535
-
dba Advanced Dermatology And Cosmetic Surgery
- Dermatology Physician
- Heathrow, FL
- NPI 1528097284
-
- Dermatology Physician
- Palm Coast, FL
- NPI 1164309605
-
- Dermatology Physician
- New Smyrna Beach, FL
- NPI 1184501611
-
- Dermatology Physician
- Daytona Beach, FL
- NPI 1689551129
-
- Dermatology Physician
- Port Orange, FL
- NPI 1487058533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1285295139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16461 DOMESTIC AVENUE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339126008",
"telephone_number": "772-667-7688",
"fax_number": "603-952-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16461 DOMESTIC AVENUE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339123391",
"telephone_number": "772-667-7688",
"fax_number": "603-952-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "CHRISTINA",
"middle_name": "LEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11002827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 15, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.