Individual provider Active NPI

Livis Jessica Merino Renova

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1952211252
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11050826 Issued in FL
Practice address
4136 Sunny Aspen Cir Apt 302
Fort Myers, FL 33916-8242
Phone
(432) 381-6336
NPI assigned
Sep 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11050826 FL Primary

Addresses

Primary practice location

4136 Sunny Aspen Cir Apt 302
Fort Myers, FL 33916-8242

Mailing address

4136 Sunny Aspen Cir Apt 302
Fort Myers, FL 33916-8242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1952211252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 SUNNY ASPEN CIR APT 302",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339168242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 SUNNY ASPEN CIR APT 302",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339168242",
            "telephone_number": "432-381-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERINO RENOVA",
        "first_name": "LIVIS",
        "middle_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11050826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.