IndividualActive
Natasha Fenelon, APRN
NPI 1003426883 · Family Nurse Practitioner · Lake Wales, FL
Provider details
- NPI number
- 1003426883
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11008419 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
684 State Road 60 W
Lake Wales, FL 33853-4419
Phone: (863) 949-4868
Fax: (863) 223-8549
Approximate (ZIP-level) locationGet directions
Mailing address
6675 Westwood Blvd
Orlando, FL 32821-6027
Registry dates
- Enumerated
- 2020-08-05
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.