Individual provider Active NPI

Lorena Lopez

  • Psychiatric/Mental Health Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1629632898
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11001772 Issued in FL
Practice address
5348 Harmony PL
Kissimmee, FL 34758-2281
Phone
(304) 494-4225
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11001772 FL
Family Nurse Practitioner 363LF0000X APRN11001772 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11001772 FL Primary

Addresses

Primary practice location

5348 Harmony PL
Kissimmee, FL 34758-2281

Mailing address

5348 Harmony PL
Kissimmee, FL 34758-2281
Phone (304) 494-4225

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
I20190911003423 FL Practitioner - Nurse Practitioner 3870822158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Kidney Specialists IncGroup PAC ID 6608233705, 38 clinicians

Practice addresses (Care Compare)

1121 N Central Ave
Kissimmee, FL 34741-4405
Phone (407) 933-2210

3501 W Vine St
Suite 262
Kissimmee, FL 34741-4672
Phone (407) 483-7607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
APRN11001772FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Kidney Specialists Inc CurrentSince Jun 1, 2023 Accepting new patients
Healthy Mind Psychiatry LLC Family CurrentSince May 14, 2025 Accepting new patients

Locations

1121 N Central Ave
Kissimmee, FL 34741
Phone (407) 933-1221

3501 W Vine St
Ste 262
Kissimmee, FL 34741
Phone (407) 483-7607

1121 N Central Ave
Ste B
Kissimmee, FL 34741
Phone (407) 933-1221

1101 N Central Ave
Kissimmee, FL 34741
Phone (407) 284-1993

3885 Oakwater Cir
Orlando, FL 32806
Phone (407) 816-5700

Interoperability endpoints

  • Direct secure messaging: lorena.lopez@direct.davitaphysiciansolutions.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1629632898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5348 HARMONY PL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582281",
            "telephone_number": "304-494-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5348 HARMONY PL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582281",
            "telephone_number": "304-494-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LORENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001772",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001772",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11001772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.