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

Rocio Valeria Lacayo

Individual provider Family Nurse Practitioner · NPI 1912561416

Rocio Valeria Lacayo is a Nurse Practitioner in Port Charlotte, Florida. Qualified in 2018, 8 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Florida.

Years since qualifying
8
Licensed in
CA, FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2450 Tamiami Trl Ste A
Port Charlotte, FL 33952-3922
Phone: (941) 624-2704
Fax: (941) 627-6066
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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 APRN11001317 (FL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95013498 (CA)

Record details

NPI number1912561416
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2019
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Port Charlotte