Individual provider Active NPI

Olga Lucia White, NP

  • Adult Health Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1760207245
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11022358 Issued in FL
Practice address
1900 Don Wickham Dr Ste 110
Clermont, FL 34711-1980
Phone
(321) 241-7275
NPI assigned
Nov 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11022358 FL
Adult Health Nurse Practitioner 363LA2200X APRN11022358 FL Primary

Addresses

Primary practice location

1900 Don Wickham Dr Ste 110
Clermont, FL 34711-1980

Mailing address

1900 Don Wickham Dr Ste 110
Clermont, FL 34711-1980
Phone (321) 241-7275

Other practice location 1

12545 Valencia Dr
Clermont, FL 34711-8841
Phone (321) 689-9299

Other identifiers 1

IdentifierTypeStateIssuer
127449100MedicaidFL

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
I20250625001797 FL Practitioner - Nurse Practitioner 0143732149 Reassigns benefits to 1 organization

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
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1900 Don Wickham Dr
Suite 110
Clermont, FL 34711-1980
Phone (352) 356-8840

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11022358FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unwavering Radiance Aesthetics LLC Family Medicine Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

1920 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-5891

1900 Don Wickham Dr
Ste 110
Clermont, FL 34711
Phone (352) 241-6460

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1760207245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 DON WICKHAM DR STE 110",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111980",
            "telephone_number": "321-241-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DON WICKHAM DR STE 110",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111980",
            "telephone_number": "321-241-7275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12545 Valencia Dr",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347118841",
            "country_code": "US",
            "telephone_number": "321-689-9299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "OLGA",
        "middle_name": "LUCIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11022358",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11022358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127449100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.