Individual provider Active NPI

Lakecia Rivera, APRN, FNP-C

  • Family Nurse Practitioner
  • Sanford, FL
National Provider Identifier
1659116390
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11032351 Issued in FL
Practice address
712 W 25TH St
Sanford, FL 32771-4232
Phone
(407) 402-2303
NPI assigned
Jun 25, 2024
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 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 APRN11032351 FL Primary

Addresses

Primary practice location

712 W 25TH St
Sanford, FL 32771-4232

Mailing address

167 Walnut Crest Run
Sanford, FL 32771-7987
Phone (419) 265-1544

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
I20250304003752 FL Practitioner - Nurse Practitioner 5698296812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3030 E Semoran Blvd
Suite 264
Apopka, FL 32703-5953
Phone (321) 280-3810

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11032351FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Feb 17, 2025 Accepting new patients
Access Family Care LLC CurrentSince Jun 30, 2024 Accepting new patients
Adventist Health System Sunbelt Inc Family Current Accepting new patients
Adventist Health System Sunbelt, Inc Family CurrentSince Feb 17, 2025 Accepting new patients

Locations

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

712 W 25th St
Sanford, FL 32771
Phone (407) 322-6341

Interoperability endpoints

  • Direct secure messaging: lrivera4462198@adventhealth.direct-ci.com

Organizations & group practices 4

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 3

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": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1659116390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 WALNUT CREST RUN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327717987",
            "telephone_number": "419-265-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W 25TH ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327714232",
            "telephone_number": "407-402-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LAKECIA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.