Leddataliz Pedrogo, LPN
Leddataliz Pedrogo, LPN is a Licensed Practical Nurse in Lake Wales, FL, registered under NPI 1396011748. This provider registers 10 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 4762 BREEZER DR, Lake Wales, FL 33859. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PN5198865 | FL | Licensed Practical Nurse primary |
| PN5198865 | FL | Respite Care |
| PN5198865 | FL | Child Mental Illness Respite Care |
| PN5198865 | FL | Child Intellectual and/or Developmental… |
| PN5198865 | FL | Child Physical Disabilities Respite Care |
| PN5198865 | FL | Home Health Agency |
| PN5198865 | FL | Nursing Care Agency |
| PN5198865 | FL | Developmental Disabilities Clinic/Center |
| PN5198865 | FL | Adult Companion |
| PN5198865 | FL | Nurse's Aide |
This provider holds licence PN5198865 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Licensed Practical Nurse covers
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. NUCC Health Care Provider Taxonomy, code 164W00000X
All registered taxonomy codes
This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN5198865 | FL | primary |
| 385H00000X | Respite Care | PN5198865 | FL | |
| 385HR2055X | Child Mental Illness Respite Care Respite Care, Mental Illness, Child | PN5198865 | FL | |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care Respite Care, Intellectual and/or Developmental Disabilities, Child | PN5198865 | FL | |
| 385HR2065X | Child Physical Disabilities Respite Care Respite Care, Physical Disabilities, Child | PN5198865 | FL | |
| 251E00000X | Home Health Agency | PN5198865 | FL | |
| 251J00000X | Nursing Care Agency | PN5198865 | FL | |
| 261QD1600X | Developmental Disabilities Clinic/Center Developmental Disabilities | PN5198865 | FL | |
| 372600000X | Adult Companion | PN5198865 | FL | |
| 376K00000X | Nurse's Aide | PN5198865 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1396011748 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 30, 2012 |
| Last updated | Jul 21, 2022 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | LPN |
| Practice address |
4762 BREEZER DR Lake Wales, FL 33859 (407) 724-4853 |
| Mailing address |
1615 ELLINGTON DR Dundee, FL 33838 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 9 | 6 | 0 | 1 | 1 | 7 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 9 | 6 | 0 | 1 | 2 | 7 | 8 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.