Individual provider Active NPI

Elizabeth Nino, APRN

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1467088633
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007625 Issued in FL
Practice address
1110 Pine Ridge Rd Ste 201
Naples, FL 34108-8927
Phone
(239) 351-2298
Fax
(239) 331-3570
NPI assigned
Mar 19, 2020
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11007625 FL Primary

Addresses

Primary practice location

1110 Pine Ridge Rd Ste 201
Naples, FL 34108-8927

Mailing address

1110 Pine Ridge Rd Ste 201
Naples, FL 34108-8927

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730000675 FL Practitioner - Nurse Practitioner 1355766999 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11007625FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angels Home Health LLC Family CurrentSince Jun 17, 2020 Accepting new patients

Locations

1110 Pine Ridge Rd
Ste 201
Naples, FL 34108
Phone (239) 351-2298

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1467088633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PINE RIDGE RD STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PINE RIDGE RD STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088927",
            "telephone_number": "239-351-2298",
            "fax_number": "239-331-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINO",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.