Active NPI
Lileean Marie Othmer
- Women's Health Nurse Practitioner
- Saint Petersburg, FL
National Provider Identifier
1326560459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 11038277
- Practice address
- 8950 Dr MLK St N
Suite 190
Saint Petersburg, FL 33702 - Phone
- (727) 576-7600
- NPI assigned
- Jul 11, 2017
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 11038277 | FL | Primary |
Addresses
Primary practice location
8950 Dr MLK St N
Suite 190
Saint Petersburg, FL 33702
Mailing address
915 N Franklin St Unit 2009
Tampa, FL 33602-3884
Phone (321) 289-2528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11038277 | FL | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1326560459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 N FRANKLIN ST UNIT 2009",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023884",
"telephone_number": "321-289-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 DR MLK ST N",
"address_2": "SUITE 190",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "33702",
"telephone_number": "727-576-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTHMER",
"first_name": "LILEEAN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2025-03-20",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "11038277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.