Individual provider Active NPI

Michael Lomonaco, DNP

  • Family Nurse Practitioner
  • Oviedo, FL
National Provider Identifier
1316311202
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9244984 Issued in FL
Practice address
1370 Hampstead Ter
Oviedo, FL 32765-5119
Phone
(407) 353-5055
NPI assigned
Nov 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 9244984 FL Primary

Addresses

Primary practice location

1370 Hampstead Ter
Oviedo, FL 32765-5119

Mailing address

1370 Hampstead Ter
Oviedo, FL 32765-5119
Phone (407) 353-5055

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160419000997 FL Practitioner - Nurse Practitioner 1658679048 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9244984FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Chiropractic LLC CurrentSince Jan 22, 2020 Accepting new patients
Advanced Physical Medicine Inc CurrentSince Jan 4, 2016 Accepting new patients
Advanced Physical Medicine Inc CurrentSince Jan 4, 2016 Accepting new patients

Locations

460 E Altamonte Dr
Ste 2250
Altamonte Springs, FL 32701
Phone (407) 261-1001

953 N Semoran Blvd
Orlando, FL 32807
Phone (407) 282-3615

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1316311202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 HAMPSTEAD TER",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655119",
            "telephone_number": "407-353-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 HAMPSTEAD TER",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655119",
            "telephone_number": "407-353-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMONACO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-16",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9244984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.