Individual provider Active NPI

Lesley Allen Cooper, NP-C

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1942202684
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9325010 Issued in FL
Practice address
102 W Pineloch Ave Ste 23
Orlando, FL 32806-6100
Phone
(407) 852-2760
Fax
(321) 843-6729
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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 APRN9325010 FL Primary

Addresses

Primary practice location

102 W Pineloch Ave Ste 23
Orlando, FL 32806-6100

Mailing address

102 W Pineloch Ave Ste 23
Orlando, FL 32806-6100
Phone (407) 852-2760

Other practice location 1

2731 Maguire Rd
Ocoee, FL 34761-4797
Phone (407) 635-3080

Other names 1

  • Lesley Allen Priest Former name

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
I20200317000272 FL Practitioner - Nurse Practitioner 6709800568 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc CurrentSince Jan 17, 2022 Accepting new patients
WCS Professional Services of Florida, LLC CurrentSince Feb 1, 2020 Accepting new patients
Restorixhealth at-Home, LLC CurrentSince Apr 20, 2020 Accepting new patients
Bayview Physician Services, PC Past Accepting new patients
Mid-Atlantic Family Practice Past Accepting new patients

Locations

1658 St Vincents Way
Ste 120
Middleburg, FL 32068
Phone (904) 602-1000

2731 Maguire Rd
Ocoee, FL 34761
Phone (407) 635-3080

102 W Pineloch Ave
Ste 23
Orlando, FL 32806
Phone (407) 481-7139

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

3445 N Causeway Blvd
Ste 600
Metairie, LA 70002
Phone (504) 835-4919

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1942202684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W PINELOCH AVE STE 23",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066100",
            "telephone_number": "407-852-2760",
            "fax_number": "321-843-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W PINELOCH AVE STE 23",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066100",
            "telephone_number": "407-852-2760",
            "fax_number": "321-843-6729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2731 Maguire Rd",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347614797",
            "country_code": "US",
            "telephone_number": "407-635-3080",
            "fax_number": "407-636-7804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LESLEY",
        "middle_name": "ALLEN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9325010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLEY",
            "last_name": "PRIEST",
            "middle_name": "ALLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.