Lidice Leyva

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11030027 Issued in FL

Practice address

2669 Forest Hill Blvd Ste 100
West Palm Beach, FL 33406-5966

Phone

(561) 467-6560

Fax

(888) 720-4595

NPI assigned

Dec 18, 2023

Last updated

Jul 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lidice Zamora Diaz Former name

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Classone Medical CorpGroup PAC ID 8022535970, 2 clinicians

Montesol Medical Centers LLCGroup PAC ID 1759751563, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Simply Home Health Care LLC Home health agency, Lake Worth, FL, CCN 687166

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Classone Medical Corp

  • Primary Care Clinic/Center
  • Royal Palm Beach, FL
  • NPI 1932900834
  Medicare reassignment Care Compare group NPD Authorized official
• Montesol Medical Centers LLC

  • Family Medicine Physician
  • West Palm Beach, FL
  • NPI 1992413512
  Care Compare group NPD
• Medplus Advance Care Corp

  dba ClassOne Medical Corp

  • General Practice Physician
  • West Palm Beach, FL
  • NPI 1164344370
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Simply Home Health Care, LLC

  • Home Health Agency
  • Lake Worth, FL
  • NPI 1043809486
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1912775123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 MONTEREY WAY",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117801",
            "telephone_number": "561-248-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 FOREST HILL BLVD STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065966",
            "telephone_number": "561-467-6560",
            "fax_number": "888-720-4595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 Royal Palm Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334111641",
            "country_code": "US",
            "telephone_number": "561-337-1549",
            "fax_number": "888-720-4595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1583 N Military Trl Ste A",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334094709",
            "country_code": "US",
            "telephone_number": "561-363-3151",
            "fax_number": "888-720-4595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYVA",
        "first_name": "LIDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11030027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIDICE",
            "last_name": "ZAMORA DIAZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Lodell Lewis
• Krystal Lexima
• Jorge Jassan Leyva Garay
• Rene Leyva Quevedo, ARNP
• Guadalupe Leyva
• Natalie Margaret Li, MEDICAL ASSISTANT
• Liberty Bell Direct Medical Supply
• Liberty Bell Medical Supply
• Liberty Movement Ministry Inc
• Carolina Libreros, LCSW

• Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.

Verify at the official NPI Registry.