Active NPI
Niki Leah Gulau, AGACNP
- Adult Health Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11033622
- Practice address
- 76 Underwood St Ste 300
Orlando, FL 32806-1110 - Phone
- (218) 417-5503
- Fax
- (321) 841-1569
- NPI assigned
- Apr 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9555562 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11033622 | FL | Primary |
Addresses
Primary practice location
76 Underwood St Ste 300
Orlando, FL 32806-1110
Mailing address
76 Underwood St Ste 300
Orlando, FL 32806-1110
Phone (218) 417-5503
Other practice location 1
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (941) 807-7225
Other practice location 2
13685 Doctors Way Ste 350
Fort Myers, FL 33912-4347
Phone (239) 343-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122947000 | Medicaid | FL |
Other names 1
- Niki Leah Henson
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
62 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9555562 | FL | MD | Registered Nurse |
| APRN11033622 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
13685 Doctors Way
Ste 350
Fort Myers, FL 33912
Phone (239) 343-1000
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
76 Underwood St
Ste 300
Orlando, FL 32806
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
62 Columbia St
Orlando, FL 32806
Phone (321) 214-4903
2727 W Mlk Blvd
Ste 460
Tampa, FL 33607
Phone (813) 879-4328
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1972359305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 UNDERWOOD ST STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061110",
"telephone_number": "218-417-5503",
"fax_number": "321-841-1569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 UNDERWOOD ST STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061110",
"telephone_number": "218-417-5503",
"fax_number": "321-841-1569"
}
],
"practiceLocations": [
{
"address_1": "13681 Doctors Way",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124300",
"country_code": "US",
"telephone_number": "941-807-7225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13685 Doctors Way Ste 350",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124347",
"country_code": "US",
"telephone_number": "239-343-3800",
"fax_number": "239-343-3993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GULAU",
"first_name": "NIKI",
"middle_name": "LEAH",
"credential": "AGACNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-26",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9555562",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11033622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122947000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NIKI",
"last_name": "HENSON",
"middle_name": "LEAH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.