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

Ludmyla J. Staddon, ARNP

Individual provider Family Medicine Physician · NPI 1093945594

Ludmyla J. Staddon, ARNP is a Nurse Practitioner in Lakeland, Florida. Qualified in 2009, 17 years ago. Practices with Minuteclinic Diagnostic of Rhode Island LLC, a 24-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia, Delaware, Florida and Kansas and 8 more.

Years since qualifying
17
Licensed in
DC, DE, FL, KS, KY, MA
In the registry since
2009
Specialties on file
13
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

5010 S Florida Ave
Lakeland, FL 33813-2510
Phone: (863) 644-2411
Fax: (863) 648-4969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN9245779 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence NO500004756 (DC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9245779 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence AC004715 (MD)
Family Medicine Physician Taxonomy 207Q00000X · Licence CNP0032718 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence LG-0012150 (DE)
Family Medicine Physician Taxonomy 207Q00000X · Licence 53-81533-032 (KS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 089621-23 (NH)
Family Medicine Physician Taxonomy 207Q00000X · Licence APRN03381 (RI)
Family Medicine Physician Taxonomy 207Q00000X · Licence CNP221478 (ME)
Family Medicine Physician Taxonomy 207Q00000X · Licence 3018282 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence RN2379596 (MA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 101.0135725 (VT)

Record details

NPI number1093945594
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedJuly 17, 2009
Last updated in NPPESOctober 25, 2025
Certification dateOctober 25, 2025
Mailing address5010 S Florida Ave, Lakeland, FL 33813-2510

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Minuteclinic Diagnostic Of Rhode Island Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Lakeland