EXPRESS PROVIDER SERVICES PLLC
NPI 1427793181
Nurse Practitioner - Family in Lakewood Ranch, FL

Active since April 28, 2022CLIA 10D2262140 · Waiver
8130 LAKEWOOD MAIN ST STE 103, LAKEWOOD RANCH, FL 34202(407) 221-1679 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2022, Apr 28, 2022 (2 updates tracked since 2022).

About Express Provider Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXPRESS PROVIDER SERVICES PLLC (NPI 1427793181) is a healthcare organization registered as a family in Lakewood Ranch, Florida and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Ashley Raley, Owner, as its authorized official.

NPPES Registry Identity

NPI1427793181
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEXPRESS PROVIDER SERVICES PLLC
Location Address8130 LAKEWOOD MAIN ST STE 103Lakewood Ranch, FL 34202-5068
Mailing Address8130 Lakewood Main St Ste 103Lakewood Ranch, FL 34202-5068 · (407) 221-1679
Organization SubpartNo
Authorized OfficialAshley RaleyOwner · (407) 221-1679
Enumeration DateApril 28, 2022
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
NPI 1427793181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
8130 LAKEWOOD MAIN ST STE 103, Lakewood Ranch, FL 34202

Other Identifiers 1

Other9298097FL · Aprn License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2262140

Express Provider Services PLLC · Lakewood Ranch, FL
Active · expires Jun 8, 2028
CLIA Number10D2262140
Laboratory TypeMobile Laboratory
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorAshley R. Raley
Laboratory Phone(407) 221-1679
Laboratory LocationExpress Provider Services PLLC8130 Lakewood Main St Suite 103, Lakewood Ranch, FL 34202
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
8130 LAKEWOOD MAIN ST STE 103
LAKEWOOD RANCH, FL 34202
Pediatrics
8130 LAKEWOOD MAIN ST STE 103
LAKEWOOD RANCH, FL 34202
Nurse Practitioner (Family)
8130 LAKEWOOD MAIN ST STE 103
LAKEWOOD RANCH, FL 34202
Hospitalist
8130 LAKEWOOD MAIN ST STE 103
LAKEWOOD RANCH, FL 34202
Internal Medicine
8130 LAKEWOOD MAIN ST STE 103
LAKEWOOD RANCH, FL 34202
Hospitalist
8130 LAKEWOOD MAIN ST STE 103
LAKEWOOD RANCH, FL 34202
Nurse Practitioner (Family)
8130 LAKEWOOD MAIN ST STE 103
LAKEWOOD RANCH, FL 34202
Internal Medicine
8130 LAKEWOOD MAIN ST STE 103
LAKEWOOD RANCH, FL 34202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Express Provider Services PLLC's NPI number?

The NPI number for Express Provider Services PLLC is 1427793181. It was assigned to this organization in the NPPES registry on April 28, 2022.

Where is Express Provider Services PLLC located?

Express Provider Services PLLC is located at 8130 Lakewood Main St Ste 103, Lakewood Ranch, FL 34202. The listed phone number is (407) 221-1679.

What is Express Provider Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Express Provider Services PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2262140) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Express Provider Services PLLC was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.