Individual Healthcare Provider
Leddataliz Pedrogo, LPN
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 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
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.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Licensed Practical Nurse
Nursing Service Providers
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 385H00000XRespite 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 385HR2055XRespite 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 385HR2060XRespite 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 385HR2065XHome 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 251E00000XNursing 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 251J00000XClinic/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 261QD1600XAdult 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 372600000XNurse'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
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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