Active NPI
Lianet Delia Leon Oliveros
- Family Nurse Practitioner
- Lehigh Acres, FL
National Provider Identifier
1306433362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11010696
- Practice address
- 1530 Lee Blvd Ste 1400
Lehigh Acres, FL 33936-4887 - Phone
- (239) 368-7310
- Fax
- (239) 368-7312
- NPI assigned
- Dec 24, 2020
- 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 | 11010696 | FL | Primary |
Addresses
Primary practice location
1530 Lee Blvd Ste 1400
Lehigh Acres, FL 33936-4887
Mailing address
1530 Lee Blvd Ste 1400
Lehigh Acres, FL 33936-4887
Phone (239) 368-7310
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11010696 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmona Medical Care Inc | Current | Accepting new patients | |
| Castillo'S MD Services, LLC | Current | Accepting new patients |
Locations
2307 Bolado Pkwy
Cape Coral, FL 33990
Phone (239) 424-8122
1530 Lee Blvd
Ste 1400
Lehigh Acres, FL 33936
Phone (239) 368-7310
Interoperability endpoints
- lianet.leon.1@15088.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Cape Coral, FL
- NPI 1922620749
-
- Internal Medicine Physician
- Lehigh Acres, FL
- NPI 1922455104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1306433362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 LEE BLVD STE 1400",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364887",
"telephone_number": "239-368-7310",
"fax_number": "239-368-7312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 LEE BLVD STE 1400",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364887",
"telephone_number": "239-368-7310",
"fax_number": "239-368-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON OLIVEROS",
"first_name": "LIANET",
"middle_name": "DELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-24",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11010696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.