Active NPI
Lydia Super, APRN
- Family Nurse Practitioner
- Lakewood Ranch, FL
National Provider Identifier
1437046505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11037540
- Practice address
- 14312 Gnatcatcher Ter
Lakewood Ranch, FL 34202-8273 - Phone
- (941) 685-1449
- NPI assigned
- Jun 21, 2025
- Last updated
- Jun 21, 2025
- Sex
- Female
- Sole proprietor
- No
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 | APRN11037540 | FL | Primary |
Addresses
Primary practice location
14312 Gnatcatcher Ter
Lakewood Ranch, FL 34202-8273
Mailing address
14312 Gnatcatcher Ter
Lakewood Ranch, FL 34202-8273
Phone (941) 685-1449
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11037540 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750464000000",
"number": "1437046505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14312 GNATCATCHER TER",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342028273",
"telephone_number": "941-685-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14312 GNATCATCHER TER",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342028273",
"telephone_number": "941-685-1449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUPER",
"first_name": "LYDIA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-21",
"last_updated": "2025-06-21",
"certification_date": "2025-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11037540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood Ranch, FL
- Carley Rowe Sullivan, MA
- Summit Spine and Wellness LLC
- Suncoast Family Wellness LLC (Suncoast Family Wellness)
- Suncoast Health and Wellness LLC (Lucky Avocado Nutrition)
- Sunshine Health Care Services, LLC (A Better Solution of Manatee)
- Susan Arden Cote LCSW LLC
- Laura Swaim, DC
- Logan Swaim, DC
- Lynette Ann Swann
- Jennifer Lynn Swanson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.