LIZETH ALEJANDRA HEREDIA FNP-C
NPI 1669722203
Nurse Practitioner in Kissimmee, FL

Q: What is Lizeth Heredia's NPI number?

The NPI number for Lizeth Heredia is 1669722203. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Q: What is Lizeth Heredia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lizeth Heredia was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 11, 2012

1144 CYPRESS GLEN CIR, KISSIMMEE, FL 34741(407) 483-5900(407) 483-5902 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 28, 2017 (3 updates tracked since 2017).

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About Lizeth Alejandra Heredia Fnp-c NPPES

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

LIZETH ALEJANDRA HEREDIA FNP-C (NPI 1669722203) is an individual nurse practitioner in Kissimmee, Florida, licensed in Florida (3078392) and active in the NPI registry since September 2012. She maintains a secondary practice location in Gilbert.

NPPES Registry Identity

NPI1669722203

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLIZETH ALEJANDRA HEREDIACredential: FNP-C

Location Address1144 CYPRESS GLEN CIRKissimmee, FL 34741-7559

Mailing Address1144 Cypress Glen CirKissimmee, FL 34741-7559 · (407) 483-5900 · Fax (407) 483-5902

Phone(407) 483-5900

Fax(407) 483-5902

Sole ProprietorNo

Enumeration DateSeptember 11, 2012

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1669722203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in FL · 3078392✔ Licensed in AZ · TAP4608

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1144 CYPRESS GLEN CIR, Kissimmee, FL 34741

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Secondary Practice Location 1

Location 1890 W Elliot Rd, Suite 103Gilbert, AZ 85233-5102 · Phone (480) 545-1413 · Fax (480) 545-1434

Other Providers at the Same Location NPPES 6

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

YESHA NIRANJAN MODI MD

Pediatrics