Athena Adult Primary Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ATHENA ADULT PRIMARY CARE, LLC

Practice address

1425 Viscaya Pkwy Ste 102
Cape Coral, FL 33990-3294

Phone

(239) 471-2775

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Zahily Peraza-Higgins, ARNP-CNPI 1295245850

Title

Ceo

Phone

(239) 471-2775

Specialties & licenses 1

Addresses

Other names 1

• LifeSynergy Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zahily Peraza-Higgins, ARNP

  • Nurse Practitioner
  • Cape Coral, FL
  • NPI 1295245850
  NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1558083105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SW 13TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339918024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 VISCAYA PKWY STE 102",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903294",
            "telephone_number": "239-471-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA ADULT PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "PERAZA-HIGGINS",
        "authorized_official_first_name": "ZAHILY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-471-2775",
        "authorized_official_credential": "ARNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSynergy Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.