LISA MARIE LAUDERDALE (NPI# 1043551328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043551328 |
| Entity Type | Individual |
| Full Name | LISA MARIE LAUDERDALE |
| Credential | ARNP |
| Practice Address |
1840 Mease Dr Suite 402 Safety Harbor FL 34695-6602 |
| Mailing Address |
2109 Gull Ln Safety Harbor FL 34695-4919 |
| Practice Telephone | 7273307652 |
| Mailing Telephone | 7277263223 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP1726292 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326349549 | Lisa A Lauderdale | Pharmacist | 409 North Hwy 102, Mcloud, OK 74851 | 2010-11-04 |
| 1679724363 | Lisa Lauderdale | Counselor | 24797 S Hwy 66, Suite 5, Claremore, OK 74019-2411 | 2008-10-01 |
| Street Address |
1840 MEASE DR SUITE 402 |
| City | SAFETY HARBOR |
| State | FL |
| Zip Code | 34695-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861121 | Robert T Roth | Surgery | 1840 Mease Dr, Suite 301, Safety Harbor, FL 34695-6602 | 2005-06-20 |
| 1336751114 | Daniela Lomba | Nurse Practitioner | 1840 Mease Dr, Safety Harbor, FL 34695-6602 | 2020-08-21 |
| 1407201346 | Advanced Urology Institute | Non-Pharmacy Dispensing Site | 1840 Mease Dr, Suite 300, Safety Harbor, FL 34695-6602 | 2016-04-28 |
| 1720442940 | Jackson E. Tillquist | Registered Nurse | 1840 Mease Dr, Suite 200, Safety Harbor, FL 34695-6602 | 2016-04-13 |
| 1326444092 | Margaret Lukez | Nurse Practitioner | 1840 Mease Dr, Suite 319, Safety Harbor, FL 34695-6605 | 2014-11-07 |
| 1518370345 | Countryside Pediatric Care, P.a. | Pediatrics | 1840 Mease Dr, Suite: 405, Safety Harbor, FL 34695-6602 | 2014-06-10 |
| 1679907042 | Christina Laura Marcucci | Physician Assistant | 1840 Mease Dr, Ste 300, Safety Harbor, FL 34695-6602 | 2013-08-21 |
| 1922346816 | James P Desmarais | Nurse Practitioner | 1840 Mease Dr, Suite 319, Safety Harbor, FL 34695-6602 | 2013-01-28 |
| 1073851531 | Rajani Medical Group LLC | Internal Medicine | 1840 Mease Dr, Ste 401b, Safety Harbor, FL 34695-6602 | 2013-01-17 |
| 1427394980 | Morton Plant Mease Diagnostic Cardiology LLC | Internal Medicine | 1840 Mease Dr, Suite 200, Safety Harbor, FL 34695-6602 | 2013-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931071 | Joli Beauchamp | Occupational Therapy Assistant | 1410 Dr Martin Luther King Jr St. North, Safety Harbor, FL 34695 | 2018-08-14 |
| 1912494733 | Bryan Singleton | Occupational Therapist | 1410 Dr. M, Dr Martin Luther King Jr Street North, Safety Harbor, FL 34695 | 2018-04-17 |
| 1639673007 | Jessica Rojas | Occupational Therapy Assistant | 1410 Dr. Martin Luther King St N, Safety Harbor, FL 34695 | 2018-03-21 |
| 1326547365 | Heather Anne Ramous | Nurse Practitioner | 1840 Mease Dr Ste 307, Safety Harbor, FL 34695 | 2018-02-05 |
| 1922531730 | Jessica Robin Sternberg | Physical Therapy Assistant | 1410 Dr. Martin Luther King Jr. Street North, Safety Harbor, FL 34695 | 2017-04-07 |
| 1861863102 | Pamela Guida | Physical Therapy Assistant | 1410 Dr M L King Jr St N, Safety Harbor, FL 34695 | 2015-10-13 |
| 1962888792 | Lauren Ramos | Nurse Practitioner | 1840 Mease Dr., Suite 204, Palm Harbor, FL 34695 | 2015-08-04 |
| 1306285010 | Paulas Madhusudan Vyas | Urology | 1840 Mease Dr Ste 300, Safety Harbor, FL 34695 | 2013-06-17 |
| 1871803643 | Bridget Stirling Tyrka | Contractor | 1045 3rd St N, Safety Harbor, FL 34695 | 2010-10-14 |
| 1326211574 | Helen L. Techler | Audiologist | 583 Main Street, Suite A, Safety Harbor, FL 34695 | 2008-04-09 |
| Find all providers in zip 34695 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386292589 | Bay Area Neuromuscular Therapy LLC | Nurse Practitioner | 670 2nd St N Ste B, Safety Harbor, FL 34695-3563 | 2019-08-30 |
| 1154781250 | Np Mental Health Services Pllc | Nurse Practitioner | 23 Harbor Lake Cir, Safety Harbor, FL 34695-2808 | 2016-03-02 |
| 1548415037 | Adrienne Noel Turner | Nurse Practitioner | 3310 Enterprise Rd E, Safety Harbor, FL 34695-5343 | 2008-11-25 |
| 1780677617 | Drema Gail Servoss | Nurse Practitioner | 1701 Tall Pine Cir, Safety Harbor, FL 34695-5204 | 2005-08-25 |
| 1326444092 | Margaret Lukez | Nurse Practitioner | 1840 Mease Dr, Suite 319, Safety Harbor, FL 34695-6605 | 2014-11-07 |
| 1336578277 | Christopher Spencer Servoss | Nurse Practitioner | 1701 Tall Pine Cir, Safety Harbor, FL 34695-5204 | 2013-11-01 |
| 1588090583 | Samuel H Watson IIi | Nurse Practitioner | 1840 Mease Dr Ste 300, Safety Harbor, FL 34695-6605 | 2013-09-23 |
| 1922053594 | James J Rooney | Nurse Practitioner | 1701 Tall Pine Cir, Safety Harbor, FL 34695-5204 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
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| City | SAFETY HARBOR |
| Zip Code | 34695 |
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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.