Individual provider Active NPI

Linda Barbara Lee-Bardowski, MS, ARNP-C

  • Registered Nurse
  • Port Charlotte, FL
National Provider Identifier
1922060904
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR11525000 Issued in NJ
Practice address
21281 Grayton Ter
Port Charlotte, FL 33954-3109
Phone
(941) 235-2710
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-239598-L PA
Registered Nurse 163W00000X 26NR11525000 NJ Primary
Family Nurse Practitioner 363LF0000X ARNP 2649762 FL

Addresses

Primary practice location

21281 Grayton Ter
Port Charlotte, FL 33954-3109

Mailing address

6239 Bennington St
Englewood, FL 34224-8487
Phone (941) 473-1625

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
I20161027002565 FL Order and Referring Only - Nurse Practitioner 3971648577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR11525000NJMDRegistered Nurse
RN-239598-LPAMDRegistered Nurse
ARNP 2649762FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922060904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6239 BENNINGTON ST",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342248487",
            "telephone_number": "941-473-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21281 GRAYTON TER",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339543109",
            "telephone_number": "941-235-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-BARDOWSKI",
        "first_name": "LINDA",
        "middle_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "MS, ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN-239598-L",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR11525000",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 2649762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.