Individual provider Active NPI

Olanda Marie Hathaway, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1962496471
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038526 Issued in FL
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

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other 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
I20250718003980 FL Practitioner - Nurse Practitioner 0042246506 Reassigns benefits to 1 organization

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
Onspot-FLGroup PAC ID 3678984937, 43 clinicians

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

LicenseStateTypeSpecialty
APRN11038526FLMDNurse Practitioner
RN042630LAMDFamily Nurse Practitioner
R109289MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onspot-FL CurrentSince Aug 18, 2025 Accepting new patients
MVP Medical Practice PC PastSince Jul 13, 2025 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.

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

Verify at the official NPI Registry.