Ieleth S Lopez Valladares, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11032775 Issued in FL

Practice address

322 NE 26TH Ter
Cape Coral, FL 33909-8866

Phone

(239) 738-1113

NPI assigned

May 15, 2024

Last updated

May 15, 2024By 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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ballout International PLLCGroup PAC ID 5890045256, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ballout International PLLC

  dba Evolutionary Healthcare

  • Internal Medicine Physician
  • Vero Beach, FL
  • NPI 1629554225

  Family

  Medicare reassignment Care Compare group NPD
• G.I.D. Medical Center

  • Clinic/Center
  • Fort Myers, FL
  • NPI 1730961004
  NPD Authorized official
• Ily Medical Corps LLC

  • Family Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1356293187
  NPD Authorized official
• David a Butler DO LLC

  • Family Medicine Physician
  • Port Charlotte, FL
  • NPI 1669759080
  NPD

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1306695168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 NE 26TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339098866",
            "telephone_number": "239-738-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 NE 26TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339098866",
            "telephone_number": "239-738-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ VALLADARES",
        "first_name": "IELETH",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agustin Rodolfo Lopez Leiros, RPH
• Agnia Lopez Mendez
• Bryan R Lopez Ortiz
• Marlen Antonia Lopez Perez
• Yudith Lopez Ramos
• Flora Estella Lopez-McLean, APRN, FNP-C
• Adali V Lopez
• Alejandra Lopez
• Benjamin Edwin Lopez, PTA
• Dennis D Lopez, CBHCMS

• Family Nurse Practitioner in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.
• 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.

Verify at the official NPI Registry.