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NPISignal

Individual Healthcare Provider

Leddataliz Pedrogo, LPN

NPI Record: ActiveLicensed Practical Nurse
NPI1396011748
Lake Wales, Florida

Provider's NPPES record last updated: July 21, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1396011748
Primary Specialty
Licensed Practical Nurse
Practice Location
Lake Wales, Florida
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 8:33 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Licensed Practical Nurse

    Nursing Service Providers

    Primary

    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.

    Taxonomy code 164W00000X
  • Respite Care

    Respite Care Facility

    Definition to come.

    Taxonomy code 385H00000X
  • Respite Care

    Respite Care, Mental Illness, Child

    Respite Care Facility

    A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

    Taxonomy code 385HR2055X
  • Respite Care

    Respite Care, Intellectual and/or Developmental Disabilities, Child

    Respite Care Facility

    A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

    Taxonomy code 385HR2060X
  • Respite Care

    Respite Care, Physical Disabilities, Child

    Respite Care Facility

    A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.

    Taxonomy code 385HR2065X
  • Home Health

    Agencies

    A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

    Taxonomy code 251E00000X
  • Nursing Care

    Agencies

    A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

    Taxonomy code 251J00000X
  • Clinic/Center

    Developmental Disabilities

    Ambulatory Health Care Facilities

    An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

    Taxonomy code 261QD1600X
  • Adult Companion

    Nursing Service Related Providers

    An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

    Taxonomy code 372600000X
  • Nurse's Aide

    Nursing Service Related Providers

    (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

    Taxonomy code 376K00000X

Provider-Reported License Information

Licensed Practical Nurse (Florida)
PN5198865
Respite Care (Florida)
PN5198865
Respite Care (Florida)
PN5198865
Respite Care (Florida)
PN5198865
Respite Care (Florida)
PN5198865
Home Health (Florida)
PN5198865
Nursing Care (Florida)
PN5198865
Clinic/Center (Florida)
PN5198865
Adult Companion (Florida)
PN5198865
Nurse's Aide (Florida)
PN5198865
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

4762 Breezer Dr

Lake Wales, Florida 33859-5447

Phone: (407) 724-4853

Record Information

Enumeration Date
March 30, 2012
Provider's NPPES Record Last Updated
July 21, 2022
Certification Date
January 25, 2021
NPISignal NPPES Dataset
August 2026

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