Active NPI
Night Lite Pediatric Center, LLC
- Pediatrics Physician
- Apopka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0061521
- Legal business name
- NIGHT LITE PEDIATRIC CENTER, LLC
- Practice address
- 620 S Hunt Club Blvd
Apopka, FL 32703-4958 - Phone
- (407) 478-5955
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Hanly
- Title
- Director of RCM Operations
- Phone
- (516) 207-7919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0061521 | FL | Primary |
Addresses
Primary practice location
620 S Hunt Club Blvd
Apopka, FL 32703-4958
Mailing address
1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Phone (516) 207-7936
Other practice location 1
145 Palm Bay Rd NE
Melbourne, FL 32904-8601
Phone (321) 608-3595
Other practice location 2
11325 Lake Underhill Rd Ste 103
Orlando, FL 32825-5090
Phone (407) 398-6702
Other practice location 3
2322 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-5401
Phone (407) 279-5950
Other practice location 4
131 SW Port St Lucie Blvd
Port St Lucie, FL 34984-5042
Phone (772) 807-1580
Other practice location 5
10325 San Jose Blvd
Jacksonville, FL 32257-6204
Phone (904) 717-1034
Other practice location 6
1267 W Osceola Pkwy
Kissimmee, FL 34741-7556
Phone (407) 569-0220
Other practice location 7
13750 W Colonial Dr Ste 250
Winter Garden, FL 34787-6142
Phone (407) 905-4717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210330002022 | FL | Part B Supplier - Clinic/Group Practice | 1456768977 | Practice locations: Kissimmee, FL; Orlando, FL; Port Saint Lucie, FL |
National Provider Directory
National Provider DirectoryLocations
5992 Coral Ridge Dr
#11
Coral Springs, FL 33076
10325 San Jose Blvd
Jacksonville, FL 32257
Phone (321) 608-3595
2322 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744
Phone (407) 279-5950
145 Palm Bay Rd NE
Ste 112
Melbourne, FL 32904
145 Palm Bay Rd NE
Ste 111
West Melbourne, FL 32904
Phone (321) 608-3595
13750 W Colonial Dr
Ste 250
Winter Garden, FL 34787
25311 Hillside Ave
Bellerose, NY 11426
181 Old Country Rd
Carle Place, NY 11514
Phone (516) 248-5437
6218 Jericho Tpke
Commack, NY 11725
Phone (631) 499-5437
5050 Sunrise Hwy
Massapequa Park, NY 11762
Phone (516) 541-5437
1130 Deer Park Ave
North Babylon, NY 11703
Phone (631) 667-4767
Practitioners & affiliated clinicians
Practitioners 79
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Orlando, FL
- NPI 1295406783
-
- Pediatrics Physician
- Orlando, FL
- NPI 1235430034
-
- Pediatric Nurse Practitioner
- Port St Lucie, FL
- NPI 1134862246
-
- Pediatrics Physician
- Naples, FL
- NPI 1134515687
-
- Pediatrics Physician
- Orlando, FL
- NPI 1447291414
-
- Pediatrics Physician
- Orlando, FL
- NPI 1144422080
-
- Medical Physician Assistant
- Boca Raton, FL
- NPI 1376320788
-
- Pediatric Nurse Practitioner
- West Melbourne, FL
- NPI 1285142661
-
- Pediatrics Physician
- Orlando, FL
- NPI 1184614992
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Orlando, FL
- NPI 1093822629
-
- Pediatric Nurse Practitioner
- Orlando, FL
- NPI 1619452562
-
- Physician Assistant
- Jacksonville, FL
- NPI 1043946486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1407974579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOLLOW LN STE 301",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421215",
"telephone_number": "516-207-7936",
"fax_number": "516-207-7936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S HUNT CLUB BLVD",
"city": "APOPKA",
"state": "FL",
"postal_code": "327034958",
"telephone_number": "407-478-5955"
}
],
"practiceLocations": [
{
"address_1": "145 Palm Bay Rd NE",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329048601",
"country_code": "US",
"telephone_number": "321-608-3595",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11325 Lake Underhill Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328255090",
"country_code": "US",
"telephone_number": "407-398-6702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2322 E Irlo Bronson Memorial Hwy",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347445401",
"country_code": "US",
"telephone_number": "407-279-5950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "131 SW Port St Lucie Blvd",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349845042",
"country_code": "US",
"telephone_number": "772-807-1580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10325 San Jose Blvd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322576204",
"country_code": "US",
"telephone_number": "904-717-1034",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1267 W Osceola Pkwy",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347417556",
"country_code": "US",
"telephone_number": "407-569-0220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13750 W Colonial Dr Ste 250",
"address_purpose": "LOCATION",
"city": "Winter Garden",
"state": "FL",
"postal_code": "347876142",
"country_code": "US",
"telephone_number": "407-905-4717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NIGHT LITE PEDIATRIC CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "HANLY",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "DIRECTOR OF RCM OPERATIONS",
"authorized_official_telephone_number": "516-207-7919"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0061521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.