Individual provider Active NPI

Lindsey Ella Carriles, APRN, NP-C

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1730764812
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11011551 Issued in FL
Practice address
3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone
(407) 266-3627
Fax
(407) 266-4910
NPI assigned
Mar 10, 2021
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11011551 FL Primary

Addresses

Primary practice location

3400 Quadrangle Blvd
Orlando, FL 32817-1492

Mailing address

3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 266-3627

Other practice location 1

9975 Tavistock Lakes Blvd
Orlando, FL 32827-7664
Phone (407) 266-3627

Other identifiers 2

IdentifierTypeStateIssuer
N7456OtherFLHF MEDICARE
109922300MedicaidFL

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
I20210329001219 FL Practitioner - Nurse Practitioner 2961819404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9975 Tavistock Lakes Blvd
Suite 360
Orlando, FL 32827-7665
Phone (407) 266-3627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11011551FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Central Florida CurrentSince May 15, 2024 Accepting new patients
The University of Central Florida Board of Trustees Current Accepting new patients
The University of Central Florida Board of Trustees CurrentSince May 15, 2024 Accepting new patients
Mid-Florida Dermatology Associates P.a. CurrentSince Apr 5, 2021 Accepting new patients
Communication Disorders Clinic Past Accepting new patients

Locations

100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127

9975 Tavistock Lakes Blvd
Ste 360
Orlando, FL 32827
Phone (407) 266-3627

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1730764812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 QUADRANGLE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171492",
            "telephone_number": "407-266-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 QUADRANGLE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171492",
            "telephone_number": "407-266-3627",
            "fax_number": "407-266-4910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9975 Tavistock Lakes Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277664",
            "country_code": "US",
            "telephone_number": "407-266-3627",
            "fax_number": "407-266-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILES",
        "first_name": "LINDSEY",
        "middle_name": "ELLA",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11011551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HF MEDICARE",
            "identifier": "N7456",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109922300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.