Active NPI
Patricia Rose Cecil, NP
- Pediatric Nurse Practitioner
- Leesburg, FL
National Provider Identifier
1588062780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN9189275
- Practice address
- 225 N 1St St
Leesburg, FL 34748-5150 - Phone
- (407) 905-8827
- Fax
- (407) 905-8998
- NPI assigned
- Dec 21, 2014
- Last updated
- Feb 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9189275 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN9189275 | FL | Primary |
Addresses
Primary practice location
225 N 1St St
Leesburg, FL 34748-5150
Mailing address
110 S Woodland St
Winter Garden, FL 34787-3546
Phone (407) 905-8827
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9189275 | FL | MD | Family Nurse Practitioner |
| APRN9189275 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1588062780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S WOODLAND ST",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873546",
"telephone_number": "407-905-8827",
"fax_number": "407-905-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N 1ST ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485150",
"telephone_number": "407-905-8827",
"fax_number": "407-905-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECIL",
"first_name": "PATRICIA",
"middle_name": "ROSE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-21",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9189275",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN9189275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
- Azenith Casupang, OTR/L
- Jennifer Caswell
- CCRC - Lake Port Square, LLC (Lake Port Square Health Center)
- Cdpa, Inc (Lake Regional Hearing Center)
- Maria Ceballos, DPT
- Centerwell Senior Primary Care (FL) Inc. (CenterWell Senior Primary Care of Leesburg)
- Central Florida Associated Primary Care Physicians, PA (Hawk & Puglia Family Practice Physicians)
- Central Florida Foot Care, P.a.
- Central Florida Hematology and Oncology
- Central Florida Imaging of Leesburg, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.