Active NPI
Edmundo Barreto, APRN
- Family Nurse Practitioner
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11016985
- Practice address
- 615 Williams Ave
Lehigh Acres, FL 33972-7954 - Phone
- (239) 310-5269
- NPI assigned
- Dec 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 11016985 | FL | Primary |
Addresses
Primary practice location
615 Williams Ave
Lehigh Acres, FL 33972-7954
Mailing address
615 Williams Ave
Lehigh Acres, FL 33972-7954
Phone (239) 310-5269
Other practice location 1
13691 Metropolis Ave
Fort Myers, FL 33912-4318
Phone (239) 561-3376
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4037 Del Prado Blvd S
Advanced Dermatology and Cosmetic S
Cape Coral, FL 33904-7162
Phone (239) 308-0688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11016985 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients |
Locations
1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474
4037 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 561-3376
615 Williams Ave
Lehigh Acres, FL 33972
Phone (239) 260-9346
151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293
1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100
13691 Metropolis Ave
South Fort Myers, FL 33912
Phone (239) 208-5404
1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
-
- Dermatology Physician
- Sebastian, FL
- NPI 1083872535
-
- Dermatology Physician
- Aventura, FL
- NPI 1992963466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1346909421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 WILLIAMS AVE",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339727954",
"telephone_number": "239-310-5269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 WILLIAMS AVE",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339727954",
"telephone_number": "239-310-5269"
}
],
"practiceLocations": [
{
"address_1": "13691 Metropolis Ave",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124318",
"country_code": "US",
"telephone_number": "239-561-3376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRETO",
"first_name": "EDMUNDO",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-15",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11016985",
"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 26, 2023; 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.