Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jody Lee Moreno

Individual provider Family Nurse Practitioner · NPI 1508212796

Jody Lee Moreno is a Nurse Practitioner in Lakeland, Florida. Qualified in 2015, 11 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965
Phone: (863) 603-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3440 Hollywood Blvd Ste 460, Hollywood, FL 33021-6933 — (954) 923-7440
  • 455 Emerald Ave, Lake Wales, FL 33853-4716 — (863) 697-1472
  • 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 — (863) 687-1100

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN9329228 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence ARNP9329228 (FL)

Record details

NPI number1508212796
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2016
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lakeland