Active NPI
Wilfredo Nieves, APRN
- Family Nurse Practitioner
- Sanford, FL
National Provider Identifier
1689045809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11035509
- Practice address
- 3942 Crawley Down Loop
Sanford, FL 32773-7134 - Phone
- (407) 314-6625
- NPI assigned
- Oct 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11035509 | FL | Primary |
Addresses
Primary practice location
3942 Crawley Down Loop
Sanford, FL 32773-7134
Mailing address
3942 Crawley Down Loop
Sanford, FL 32773-7134
Phone (407) 314-6625
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11035509 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1689045809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3942 CRAWLEY DOWN LOOP",
"city": "SANFORD",
"state": "FL",
"postal_code": "327737134",
"telephone_number": "407-314-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3942 CRAWLEY DOWN LOOP",
"city": "SANFORD",
"state": "FL",
"postal_code": "327737134",
"telephone_number": "407-314-6625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "WILFREDO",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-14",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11035509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
- Nic 5 Renaissance Retirement Leasing LLC (Renaissance Retirement Center)
- Monica Nicola, DDS
- Nicole Niego
- Christine Elizabeth Nieva, RN
- Ivan David Nieves, D.C.
- Ileana Niles, MD
- No Limit Health and Education (No Limit Counseling and Education)
- No Limit Health and Fitness Inc (No Limit Health and Education)
- Clarivi Noblejas
- Cheemyka Noel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.