Individual provider Active NPI

Nayda Lee Marrero Cardona

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1568286391
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11036455 Issued in FL
Practice address
20 Cypress Point Pkwy Ste 1
Palm Coast, FL 32164-7528
Phone
(386) 206-5177
NPI assigned
Nov 8, 2024
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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 11036455 FL Primary

Addresses

Primary practice location

20 Cypress Point Pkwy Ste 1
Palm Coast, FL 32164-7528

Mailing address

PO Box 350292
Palm Coast, FL 32135-0292

Other practice location 1

7726 Winegard Rd
Orlando, FL 32809-7147
Phone (689) 210-8293

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
I20250501000036 FL Practitioner - Nurse Practitioner 6204361314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

20 Cypress Point Pkwy
Suite 1
Palm Coast, FL 32164-7528
Phone (386) 586-7005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11036455FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renee Margarita Perocier, M.D CurrentSince Apr 1, 2025 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

4545 Pleasant Hill Rd
Ste 112
Kissimmee, FL 34759
Phone (407) 201-7041

20 Cypress Point Pkwy
#1
Palm Coast, FL 32164
Phone (386) 206-5177

20 Cypress Point Pkwy
Ste A
Palm Coast, FL 32164
Phone (386) 586-7005

4693 Old Pleasant Hill Rd
Ste A
Poinciana, FL 34759
Phone (407) 223-6915

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAHJCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1568286391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350292",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321350292",
            "fax_number": "321-358-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CYPRESS POINT PKWY STE 1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647528",
            "telephone_number": "386-206-5177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7726 Winegard Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328097147",
            "country_code": "US",
            "telephone_number": "689-210-8293",
            "fax_number": "321-358-1619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO CARDONA",
        "first_name": "NAYDA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.