Individual provider Active NPI

Lany Tabita Romulus, REGISTERED NURSE

  • Home Health Registered Nurse
  • Port Saint Lucie, FL
National Provider Identifier
1811512973
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN9532921 Issued in FL
Practice address
5991 NW Baynard Dr
Port Saint Lucie, FL 34986-3604
Phone
(772) 200-1920
NPI assigned
Jun 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN9532921 FL Primary

Addresses

Primary practice location

5991 NW Baynard Dr
Port Saint Lucie, FL 34986-3604

Mailing address

5991 NW Baynard Dr
Port Saint Lucie, FL 34986-3604
Phone (772) 200-1920

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

LicenseStateTypeSpecialty
RN9532921FLMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
L & C Care LLC Current Accepting new patients

Organizations & group practices 1

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": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1811512973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5991 NW BAYNARD DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863604",
            "telephone_number": "772-200-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5991 NW BAYNARD DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863604",
            "telephone_number": "772-200-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMULUS",
        "first_name": "LANY",
        "middle_name": "TABITA",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-14",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9532921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.