Individual provider Active NPI

Luanda Alicia Pino Oliveros, APRN FNP-C

  • Family Nurse Practitioner
  • Lehigh Acres, FL
National Provider Identifier
1619665395
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11025768 Issued in FL
Practice address
1303 Homestead Rd N Ste 102
Lehigh Acres, FL 33936-6049
Phone
(239) 303-2700
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 APRN11025768 FL Primary

Addresses

Primary practice location

1303 Homestead Rd N Ste 102
Lehigh Acres, FL 33936-6049

Mailing address

740 Milwaukee Blvd
Lehigh Acres, FL 33974-9570
Phone (786) 585-6567

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
I20260318000064 FL Practitioner - Nurse Practitioner 1951885029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10641 Airport Pulling Rd N
Suite 27
Naples, FL 34109

1303 Homestead Rd N
Suite 102
Lehigh Acres, FL 33936-6049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11025768FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Centre of Lehigh Acres Inc CurrentSince Feb 1, 2026 Accepting new patients

Locations

1303 Homestead Rd N
Ste 102
Lehigh Acres, FL 33936
Phone (239) 303-1139

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1619665395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MILWAUKEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339749570",
            "telephone_number": "786-585-6567",
            "fax_number": "239-303-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 HOMESTEAD RD N STE 102",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366049",
            "telephone_number": "239-303-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO OLIVEROS",
        "first_name": "LUANDA",
        "middle_name": "ALICIA",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11025768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.