Active NPI
Daiquiri Ann Lopez, APRN
- Gerontology Nurse Practitioner
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 11025368
- Practice address
- 17240 Cortez Blvd
Brooksville, FL 34601-8921 - Phone
- (352) 796-5111
- NPI assigned
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 11025368 | FL | Primary |
Addresses
Primary practice location
17240 Cortez Blvd
Brooksville, FL 34601-8921
Mailing address
10065 Cortez Blvd
Weeki Wachee, FL 34613-6389
Phone (352) 596-4660
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10065 Cortez Blvd
Weeki Wachee, FL 34613-6389
Phone (352) 596-4660
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11025368 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idicula Medical Associates MD PA | Current | Accepting new patients | |
| Lake Cardiovascular Diagnostic Center L.L.C | Past | Accepting new patients | |
| St Luke Heart Institute Inc | Past | Accepting new patients |
Locations
10065 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-1229
Interoperability endpoints
- daiquiri.lopez@cvcfl.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/GIIBAA
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.
-
- Specialist
- Brooksville, FL
- NPI 1982781688
-
- Cardiovascular Disease Physician
- Lady Lake, FL
- NPI 1801135173
-
- Specialist
- Brooksville, FL
- NPI 1528196847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Oak Hill Hospital
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1841993508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10065 CORTEZ BLVD",
"city": "WEEKI WACHEE",
"state": "FL",
"postal_code": "346136389",
"telephone_number": "352-596-4660",
"fax_number": "352-596-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17240 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346018921",
"telephone_number": "352-796-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "DAIQUIRI",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11025368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.