Individual provider Active NPI

Jasmin Delia Morillo

  • Family Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1356142889
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11050940 Issued in FL
Practice address
380 Rinehart Rd
Lake Mary, FL 32746-2551
Phone
(321) 842-0560
NPI assigned
Mar 21, 2025
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11050940 FL Primary
Registered Nurse 163W00000X 9536379 FL

Addresses

Primary practice location

380 Rinehart Rd
Lake Mary, FL 32746-2551

Mailing address

9429 Lake Douglas PL
Orlando, FL 32817-2603
Phone (813) 541-7382

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

LicenseStateTypeSpecialty
9536379FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1356142889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9429 LAKE DOUGLAS PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172603",
            "telephone_number": "813-541-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 RINEHART RD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462551",
            "telephone_number": "321-842-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORILLO",
        "first_name": "JASMIN",
        "middle_name": "DELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11050940",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9536379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.