Individual provider Active NPI

Nadia D Vazquez Hidalgo

  • Psychiatric/Mental Health Nurse Practitioner
  • Lehigh Acres, FL
National Provider Identifier
1912491093
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9425232 Issued in FL
Practice address
1303 Homestead Rd N
Lehigh Acres, FL 33936-6049
Phone
(239) 303-2700
Fax
(239) 303-2756
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 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 9425232 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9425232 FL Primary

Addresses

Primary practice location

1303 Homestead Rd N
Lehigh Acres, FL 33936-6049

Mailing address

1303 Homestead Rd N Ste 102
Lehigh Acres, FL 33936-6049
Phone (239) 303-2700

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
I20201029000019 FL Practitioner - Nurse Practitioner 1153731351 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1303 Homestead Rd N
Suite 102
Lehigh Acres, FL 33936-6049

206 Utah Ave
Fort Myers, FL 33905-2713

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9425232FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Organization Inc. CurrentSince Dec 1, 2025 Accepting new patients
The Medical Centre of Lehigh Acres Inc CurrentSince Oct 16, 2020 Accepting new patients
Allied Family Health LLC CurrentSince Aug 2, 2022 Accepting new patients

Locations

3208 Chiquita Blvd S
Ste 108
Cape Coral, FL 33914
Phone (239) 266-7319

2915 Colonial Blvd
Ste 220
Fort Myers, FL 33966
Phone (239) 313-3933

1303 Homestead Rd N
Ste 102
Lehigh Acres, FL 33936
Phone (239) 303-1139

865 91st Ave N
Naples, FL 34108
Phone (239) 434-6596

150 W McKenzie St
Ste 114
Punta Gorda, FL 33950
Phone (407) 288-0598

Interoperability endpoints

  • Direct secure messaging: themedicalcentreoflehighacres.nadiadvasquezhidalgo@140595.advancedmd-direct.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1912491093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 HOMESTEAD RD N STE 102",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366049",
            "telephone_number": "239-303-2700",
            "fax_number": "239-303-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 HOMESTEAD RD N",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366049",
            "telephone_number": "239-303-2700",
            "fax_number": "239-303-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ HIDALGO",
        "first_name": "NADIA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9425232",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9425232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.