MS. LISA KAREN PEZZULLO (NPI# 1023287471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023287471 |
| Entity Type | Individual |
| Full Name | MS. LISA KAREN PEZZULLO |
| Other Name | LISA KAREN PEZZULLO |
| Credential | CRTT |
| Practice Address |
4736 Lago Vista Dr Coconut Creek FL 33073-4930 |
| Practice Telephone | 9549790303 |
| Practice Fax Number | 9549790303 |
| Mailing Telephone | 9546494587 |
| Mailing Fax Number | 9543436375 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 227800000X | Respiratory Therapist, Certified | TT8731 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2278H0200X |
Respiratory Therapist, Certified Specialization: Home Health |
TT8731 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 012962100 | 05 |
| Street Address |
4736 LAGO VISTA DR |
| City | COCONUT CREEK |
| State | FL |
| Zip Code | 33073-4930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255987855 | Tammy Renee Zenobi | Respiratory Therapist, Registered | 4736 Lago Vista Dr, Coconut Creek, FL 33073-4930 | 2019-08-11 |
| 1437564184 | Ez-inspirations | Respiratory Therapist, Certified | 4736 Lago Vista Dr, Coconut Creek, FL 33073-4930 | 2014-06-20 |
| 1740450196 | Marie Ann Sammet | Respiratory Therapist, Certified | 4736 Lago Vista Dr, Coconut Creek, FL 33073-4930 | 2008-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
| 1811506173 | Josee Helene Beaudry | Registered Nurse | 7700nw 48th Ave, Coconut Creek, FL 33073 | 2020-07-23 |
| 1700426210 | Stanback Enterprises LLC | Behavioral Analyst | 5561 North Winston Park Boulevard, Apartment 203, Coconut Creek, FL 33073 | 2020-01-13 |
| 1336701101 | Elissa N Tricoche | Behavior Technician | 5500 Hillsboro Blvd, Suite 208, Coconut Creek, FL 33073 | 2019-07-02 |
| 1124683677 | Vedrine Healthcare, LLC | Family Medicine | 6350 Nw 41st Terrace, Pompano Beach, FL 33073 | 2019-05-09 |
| 1518420058 | Balance Wellness Therapy Inc | Massage Therapist | 5853 Nw 40th Ave, Coconut Creek, FL 33073 | 2019-04-11 |
| 1497231336 | Brcastrong Corp | Health Educator | 4535 Nw 50th Court, Coconut Creek, FL 33073 | 2018-07-13 |
| 1851885156 | Cintia D Kopecny | Dentist | 5350 W Hillsboro Blvd Ste 201, Coconut Creek, FL 33073 | 2018-06-20 |
| 1720576721 | Sherell Breus | Driver | 4911 W Sample Rd, Coconut Creek, FL 33073 | 2018-04-25 |
| 1376053769 | Christiane Santana | Acupuncturist | 2300 W Sample Rd Ste 213, Pompano Beach, FL 33073 | 2017-10-11 |
| Find all providers in zip 33073 | ||||
| Taxonomy Code | 2278H0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| Specialization | Home Health |
| Home care fosters individual responsibility for self-management of chronic respiratory conditions. It includes individualized assessment based plans of care service developed to promote safe, proper, and sustained use of prescribed respiratory therapy medications, equipment, and techniques in the home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437564184 | Ez-inspirations | Respiratory Therapist, Certified | 4736 Lago Vista Dr, Coconut Creek, FL 33073-4930 | 2014-06-20 |
| 1740450196 | Marie Ann Sammet | Respiratory Therapist, Certified | 4736 Lago Vista Dr, Coconut Creek, FL 33073-4930 | 2008-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563628 | Erika Ruth-von Ehrenpreis | Respiratory Therapist, Certified | 4200 Doblins Road, North Port, FL 34287-3252 | 2020-09-22 |
| 1639783426 | Kimberly Leahy-smith | Respiratory Therapist, Certified | 122 Rhapsody Ct, Lake Placid, FL 33852-9205 | 2020-08-31 |
| 1558990630 | Margaline Pierre Toussaint Sr. | Respiratory Therapist, Certified | 1615 39th St, West Palm Beach, FL 33407-3635 | 2020-04-02 |
| 1568019586 | Josette St. Hilaire Georges | Respiratory Therapist, Certified | 4099 Arthurium Ave, Lake Worth, FL 33462-3431 | 2019-08-23 |
| 1669969804 | Yahaira Sheppard | Respiratory Therapist, Certified | 4123 Norris Ter, North Port, FL 34288-2370 | 2018-04-13 |
| 1447788237 | Michele Narbaiz | Respiratory Therapist, Certified | 3213 35th St Sw, Lehigh Acres, FL 33976-4303 | 2017-05-24 |
| 1821534793 | Nelson Cotto | Respiratory Therapist, Certified | 116 Quail Hollow Ct, Naples, FL 34113-7672 | 2017-01-16 |
| 1033501580 | Darling Lassegue | Respiratory Therapist, Certified | 17711 Nw 14th Ct, Miami, FL 33169-4686 | 2015-02-20 |
| 1568871085 | Leah Castle | Respiratory Therapist, Certified | 3491 Somerset Ct, Palm Harbor, FL 34684-3033 | 2014-08-08 |
| 1699183301 | Angel Coleman | Respiratory Therapist, Certified | 2501 Ne 53rd Ter Lot 122, Gainesville, FL 32609-2624 | 2014-07-25 |
| Find all providers with the same taxonomy | ||||
| City | COCONUT CREEK |
| Zip Code | 33073 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.