Active NPI
Olanda Marie Hathaway, APRN
- Family Nurse Practitioner
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11038526
- Practice address
- 13770 Plantation Rd # 103
Fort Myers, FL 33912-4460 - Phone
- (941) 444-0011
- Fax
- (603) 952-3900
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11038526 | FL | |
| Family Nurse Practitioner | 363LF0000X | RN042630 | LA | |
| Family Nurse Practitioner | 363LF0000X | R109289 | MD | |
| Family Nurse Practitioner | 363LF0000X | APRN11038526 | FL | Primary |
Addresses
Primary practice location
13770 Plantation Rd # 103
Fort Myers, FL 33912-4460
Mailing address
PO Box 23168
New York, NY 10087-0001
Phone (301) 802-5114
Other practice location 1
10 Center Drive
Building 10 Room 13C413
Bethesda, MD 20892
Phone (301) 402-7454
Other names 1
- Londa Marie Hathaway
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13770 Plantation Rd
Suite 103
Fort Myers, FL 33912-4460
Phone (941) 444-0011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11038526 | FL | MD | Nurse Practitioner |
| RN042630 | LA | MD | Family Nurse Practitioner |
| R109289 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onspot-FL | Current | Accepting new patients | |
| MVP Medical Practice PC | Past | Accepting new patients |
Locations
16461 Domestic Ave
Fort Myers, FL 33912
Phone (772) 667-7688
13770 Plantation Rd
#103
Fort Myers, FL 33912
1131 S Orange Ave
Orlando, FL 32806
Phone (407) 237-6333
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1962496471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23168",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100870001",
"telephone_number": "301-802-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13770 PLANTATION RD # 103",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124460",
"telephone_number": "941-444-0011",
"fax_number": "603-952-3900"
}
],
"practiceLocations": [
{
"address_1": "10 Center Drive",
"address_2": "Building 10 Room 13C413",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "20892",
"country_code": "US",
"telephone_number": "301-402-7454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATHAWAY",
"first_name": "OLANDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11038526",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN042630",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R109289",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11038526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LONDA",
"last_name": "HATHAWAY",
"middle_name": "MARIE",
"credential": "MSN",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 11, 2025; 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.