Individual provider Active NPI

Lilialis Collazo Yambo, APRN

  • Adult Health Nurse Practitioner
  • Saint Cloud, FL
National Provider Identifier
1851971691
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11011670 Issued in FL
Practice address
2906 17TH St
Saint Cloud, FL 34769-6006
Phone
(321) 841-7856
Fax
(321) 843-6432
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11011670 FL
Adult Health Nurse Practitioner 363LA2200X APRN11011670 FL Primary

Addresses

Primary practice location

2906 17TH St
Saint Cloud, FL 34769-6006

Mailing address

2906 17TH St
Saint Cloud, FL 34769-6006
Phone (321) 841-7856

Other practice location 1

1101 N Central Ave
Kissimmee, FL 34741-4405
Phone (407) 933-2210

Other practice location 2

10000 W Colonial Dr Ste 381
Ocoee, FL 34761-3435
Phone (321) 841-3467

Other practice location 3

9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (321) 842-8505

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
I20210518000953 FL Practitioner - Nurse Practitioner 5193134476 Reassigns benefits to 3 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
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

2906 17TH St
Saint Cloud, FL 34769-6006
Phone (321) 841-7856

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011670FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2025 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Nephrology Associates of Central Florida, P.a. CurrentSince May 5, 2021 Accepting new patients
Premier Med PA CurrentSince Jan 17, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

1101 N Central Ave
Kissimmee, FL 34741
Phone (407) 284-1993

10000 W Colonial Dr
Ste 381
Ocoee, FL 34761
Phone (321) 841-3467

7512 Dr Phillips Blvd
Ste 50-344
Orlando, FL 32819
Phone (407) 543-6306

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

2501 N Orange Ave
Ste 537N
Orlando, FL 32804
Phone (407) 894-4693

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

2906 17th St
Saint Cloud, FL 34769
Phone (407) 425-4847

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lcollazoyambo23063@orlandohealth.medalliesdirect.net

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.

Hospital & facility affiliations 1

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": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1851971691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 17TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696006",
            "telephone_number": "321-841-7856",
            "fax_number": "321-843-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 17TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696006",
            "telephone_number": "321-841-7856",
            "fax_number": "321-843-6432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414405",
            "country_code": "US",
            "telephone_number": "407-933-2210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 W Colonial Dr Ste 381",
            "address_purpose": "LOCATION",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613435",
            "country_code": "US",
            "telephone_number": "321-841-3467",
            "fax_number": "407-253-2563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9400 Turkey Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198001",
            "country_code": "US",
            "telephone_number": "321-842-8505",
            "fax_number": "321-843-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLAZO YAMBO",
        "first_name": "LILIALIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011670",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11011670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.