Active NPI
Damarsy Rodriguez
- Psychiatric/Mental Health Nurse Practitioner
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11018603
- Practice address
- 1303 Homestead Rd N Ste 103
Lehigh Acres, FL 33936-6049 - Phone
- (239) 303-2700
- NPI assigned
- Apr 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11018603 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11018603 | FL | Primary |
Addresses
Primary practice location
1303 Homestead Rd N Ste 103
Lehigh Acres, FL 33936-6049
Mailing address
1303 Homestead Rd N Ste 103
Lehigh Acres, FL 33936-6049
Phone (239) 303-2700
Other practice location 1
1303 Homestead Rd N Ste 102
Lehigh Acres, FL 33936-6049
Phone (239) 303-2700
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
865 -867
Naples, FL 34108-2426
Phone (239) 434-6596
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11018603 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Health Organization Inc. | Multi-Specialty | Current | Accepting new patients |
| The Medical Centre of Lehigh Acres Inc | Multi-Specialty | Current | Accepting new patients |
Locations
1303 Homestead Rd N
Ste 102
Lehigh Acres, FL 33936
Phone (239) 303-1139
865 91st Ave N
Naples, FL 34108
Phone (239) 434-6596
Interoperability endpoints
- themedicalcentreoflehighacres.damarsyrodriguez@140595.advancedmd-direct.com
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.
-
- Community/Behavioral Health Agency
- Naples, FL
- NPI 1053516823
Multi-Specialty
-
- Primary Care Clinic/Center
- Lehigh Acres, FL
- NPI 1508179490
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1417699109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 HOMESTEAD RD N STE 103",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366049",
"telephone_number": "239-303-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 HOMESTEAD RD N STE 103",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366049",
"telephone_number": "239-303-2700"
}
],
"practiceLocations": [
{
"address_1": "1303 Homestead Rd N Ste 102",
"address_purpose": "LOCATION",
"city": "Lehigh Acres",
"state": "FL",
"postal_code": "339366049",
"country_code": "US",
"telephone_number": "239-303-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "DAMARSY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11018603",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11018603",
"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 Apr 9, 2025; 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.