Individual provider Active NPI

Lobaba Habach

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1689292401
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004833 Issued in FL
Practice address
1552 Croydon St
Orlando, FL 32828-6848
Phone
(407) 558-9724
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11004833 FL Primary

Addresses

Primary practice location

1552 Croydon St
Orlando, FL 32828-6848

Mailing address

1552 Croydon St
Orlando, FL 32828-6848
Phone (407) 558-9724

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
I20210614003128 FL Practitioner - Nurse Practitioner 5395145247 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Wound and Healing PAGroup PAC ID 2860730041, 12 clinicians
House Call M.D.'S L.L.CGroup PAC ID 5496033839, 12 clinicians
Kopa LLCGroup PAC ID 5193774461, 40 clinicians

Practice addresses (Care Compare)

2400 Maitland Ctr Pkwy
Suite 310
Maitland, FL 32751-7442
Phone (352) 329-1800

5900 Lake Ellenor Dr
Suite 700
Orlando, FL 32809-4643
Phone (407) 352-2542

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
House Call M.D.'S L.L.C. Single Specialty CurrentSince May 1, 2021 Accepting new patients
Florida Wound & Healing PA Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Kopa LLC Single Specialty CurrentSince Sep 9, 2024 Accepting new patients

Locations

2400 Maitland Center Pkwy
Ste 310
Maitland, FL 32751
Phone (352) 329-1800

2000 N Semoran Blvd
Orlando, FL 32807
Phone (407) 641-5400

5900 Lk Ellenor Dr
Ste 700
Orlando, FL 32809
Phone (407) 216-0101

821 Good Homes Rd
Orlando, FL 32818
Phone (407) 426-4800

Interoperability endpoints

  • Direct secure messaging: lhabach@direct-address.org

Organizations & group practices 3

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 6

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1689292401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 CROYDON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286848",
            "telephone_number": "407-558-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 CROYDON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286848",
            "telephone_number": "407-558-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABACH",
        "first_name": "LOBABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.