Active NPI
Luz E Pacheco, ARNP
- Family Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1982824769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9176555
- Practice address
- 9400 Gladiolus Dr
Ste 50
Fort Myers, FL 33908-6699 - Phone
- (239) 437-7070
- Fax
- (239) 437-9022
- NPI assigned
- Apr 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9176555 | FL | Primary |
Addresses
Primary practice location
9400 Gladiolus Dr
Ste 50
Fort Myers, FL 33908-6699
Mailing address
3434 Hancock Bridge Pkwy
Ste 301
North Fort Myers, FL 33903-7094
Phone (877) 856-3774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9176555 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simpac Medical Service, Inc | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Cape Coral, FL
- NPI 1215271440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433980800000",
"number": "1982824769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3434 HANCOCK BRIDGE PKWY",
"address_2": "STE 301",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339037094",
"telephone_number": "877-856-3774",
"fax_number": "239-599-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 GLADIOLUS DR",
"address_2": "STE 50",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339086699",
"telephone_number": "239-437-7070",
"fax_number": "239-437-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "LUZ",
"middle_name": "E",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2015-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9176555",
"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 Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.