Individual provider Active NPI

Lizabel Feliciano

  • Family Nurse Practitioner
  • Mulberry, FL
National Provider Identifier
1316638158
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11026306 Issued in FL
Practice address
106 NW 9TH Ave
Mulberry, FL 33860-2922
Phone
(866) 234-8534
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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.

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
I20230630001588 FL Practitioner - Nurse Practitioner 4981063484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Health Care, Inc. CurrentSince Jun 5, 2023 Accepting new patients
Central Florida Health Care, Inc. Current Accepting new patients
Central Florida Health Care, Inc CurrentSince Jun 5, 2023 Accepting new patients
Central Florida Health Care, Inc Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care Inc Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients

Locations

950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000

1190 E Church St
Bartow, FL 33830
Phone (863) 533-1601

1350 E Main St
Ste A-5
Bartow, FL 33830
Phone (863) 534-1434

130 Ridge Center Dr
Davenport, FL 33837
Phone (866) 234-8535

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

705 Ingraham Ave
Haines City, FL 33844
Phone (863) 291-3314

305 W Central Ave
Lake Wales, FL 33853
Phone (863) 678-4144

305 W Central Ave
Fl Heal
Lake Wales, FL 33853

601 S Florida Ave
Ste 6
Lakeland, FL 33801
Phone (863) 688-0841

903 Lowry Ave
Lakeland, FL 33801

1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600

106 NW 9th Ave
Mulberry, FL 33860
Phone (863) 425-6200

807 Cobb Ct
Wauchula, FL 33873

47 5th St NW
Winter Haven, FL 33881

201 Magnolia Ave SW
Winter Haven, FL 33880
Phone (863) 229-7950

1514 1st St N
Winter Haven, FL 33881
Phone (863) 291-5110

Interoperability endpoints

  • Direct secure messaging: lizabel.feliciano.1@12125.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11026306 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

106 NW 9TH Ave
Mulberry, FL 33860-2922

Mailing address

47 5TH St NW
Winter Haven, FL 33881-4672
Phone (866) 234-8534

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2023.

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1316638158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672",
            "telephone_number": "866-234-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NW 9TH AVE",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338602922",
            "telephone_number": "866-234-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "LIZABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mulberry, FL

Sources for this page

Verify at the official NPI Registry.