Active NPI
Leesa Suzanne Lanks, APRN
- Acute Care Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN11015673
- Practice address
- 2415 N Orange Ave Ste 700
Orlando, FL 32804-5521 - Phone
- (407) 303-2474
- Fax
- (407) 303-0680
- NPI assigned
- May 23, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9299653 | FL | |
| Nurse Practitioner | 363L00000X | AP06124 | LA | |
| Nurse Practitioner | 363L00000X | R118899 | MD | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | R118899 | MD | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN11015673 | FL | Primary |
Addresses
Primary practice location
2415 N Orange Ave Ste 700
Orlando, FL 32804-5521
Mailing address
2415 N Orange Ave Ste 700
Orlando, FL 32804-5521
Phone (407) 303-2474
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2118617 | Medicaid | LA | |
| 619422-01 | Other | MD | BLUE CROSS/BLUE SHIELD |
| 037138800 | Medicaid | DC | |
| 510025900 | Medicaid | MD |
Other names 1
- Lee Suzanne Cox
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP06124 | LA | MD | Nurse Practitioner |
| R118899 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
2415 N Orange Ave
Ste 700
Orlando, FL 32804
Phone (407) 303-2474
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- llanks201196@adventhealth.direct-ci.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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Nurse Practitioner
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1679528566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 N ORANGE AVE STE 700",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045521",
"telephone_number": "407-303-2474",
"fax_number": "407-303-0680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 N ORANGE AVE STE 700",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045521",
"telephone_number": "407-303-2474",
"fax_number": "407-303-0680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANKS",
"first_name": "LEESA",
"middle_name": "SUZANNE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9299653",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "AP06124",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R118899",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "MD",
"license": "R118899",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11015673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2118617",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "619422-01",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037138800",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "510025900",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEE",
"last_name": "COX",
"middle_name": "SUZANNE",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.