Individual provider Active NPI

Lynda S Lanier, MSN,APRN,AANP-C

  • Family Nurse Practitioner
  • Lake City, FL
National Provider Identifier
1871384750
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11039403 Issued in FL
Practice address
4196 W US Highway 90 Ste 105
Lake City, FL 32055-8834
Phone
(386) 243-8474
Fax
(386) 438-5945
NPI assigned
May 13, 2025
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11039403 FL Primary

Addresses

Primary practice location

4196 W US Highway 90 Ste 105
Lake City, FL 32055-8834

Mailing address

9431 141St LN
Live Oak, FL 32060-6360
Phone (386) 688-2156

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
I20260317004569 FL Practitioner - Nurse Practitioner 6709368350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acv Community Services LLCGroup PAC ID 3476462078, 7 clinicians

Practice addresses (Care Compare)

10820 Marvin Jones Blvd
Live Oak, FL 32060-3714
Phone (386) 658-5450

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN11039403FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acv Community Services LLC CurrentSince Feb 18, 2026 Accepting new patients
Grace Pediatrics PL CurrentSince May 18, 2025 Accepting new patients
Grace Pediatrics PL PastSince May 18, 2025 Accepting new patients

Locations

4196 W US Highway 90
Ste 105
Lake City, FL 32055
Phone (386) 243-8474

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.

Hospital & facility affiliations 2

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": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1871384750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 141ST LN",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320606360",
            "telephone_number": "386-688-2156",
            "fax_number": "386-438-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4196 W US HIGHWAY 90 STE 105",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558834",
            "telephone_number": "386-243-8474",
            "fax_number": "386-438-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "LYNDA",
        "middle_name": "S",
        "credential": "MSN,APRN,AANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11039403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.