Wanda Rosario Lopez, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11047573 Issued in FL

Practice address

1131 NW 64TH Ter Ste a
Gainesville, FL 32605-4261

Phone

(352) 363-2025

NPI assigned

May 1, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1366389942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 NW 64TH TER STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054261",
            "telephone_number": "352-363-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 NW 64TH TER STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054261",
            "telephone_number": "352-363-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO LOPEZ",
        "first_name": "WANDA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11047573",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9513254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Rophie, DMD
• Benjamin R. Rophie, DMD
• Sabrina Roque
• David Rosales, PA-C
• Michael Thomas Rosalia, CAA
• Abigail Rosario Rivera, MD
• Carie L Rosario
• Dan Francisco Rosario, CRNA
• Rocio Rosario, RN
• Yvonne Rosario

• Psychiatric/Mental Health Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.