LISA A MARTIN (NPI# 1184612111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184612111 |
| Entity Type | Individual |
| Full Name | LISA A MARTIN |
| Credential | ARNP |
| Practice Address |
515 S Kings Ave Ste 3100 Brandon FL 33511-6060 |
| Mailing Address |
Po Box 25317 Tampa FL 33622-5317 |
| Practice Telephone | 8136819171 |
| Practice Fax Number | 8136817580 |
| Mailing Telephone | 8132860033 |
| Mailing Fax Number | 8132821806 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN-3215122 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300857 | Lisa Marie Martin | Social Worker | 1720 N King St, Hampton, VA 23669-1910 | 2019-11-11 |
| 1508322033 | Lisa Martin | Licensed Practical Nurse | 582 Hawthorne Hts, Lawrenceburg, IN 47025-7956 | 2019-02-20 |
| 1477022929 | Lisa Martin | Social Worker | 161 Pond View Dr, Port Washington, NY 11050-2468 | 2018-11-14 |
| 1881053544 | Lisa Martin | Nurse Practitioner | 3201 S 7 Hwy, Blue Springs, MO 64014-5301 | 2016-02-23 |
| 1396127916 | Lisa Martin | Occupational Therapist | 76 Beard Dr, New Milford, CT 06776-3716 | 2015-06-19 |
| 1427494376 | Lisa Kay Martin | Nurse's Aide | 8275 96th Ave, Vero Beach, FL 32967-3848 | 2013-05-20 |
| 1730420134 | Lisa Marie Martin | Acupuncturist | 201 Auburn Way N Ste A1, Auburn, WA 98002-5062 | 2013-03-09 |
| 1427319052 | Lisa Marie Godfrey Martin | Psychologist | 206 W 1st Ave, Ellensburg, WA 98926-3002 | 2012-05-30 |
| 1376864603 | Lisa T Martin | Physical Therapist | 110 Pleasant Ave S, Park Rapids, MN 56470-1415 | 2010-06-22 |
| 1003139684 | Lisa Brown Martin | Pharmacist | 1710 Shelby Oaks Dr N, Ste 1, Memphis, TN 38134-7403 | 2010-03-10 |
| Street Address |
515 S KINGS AVE STE 3100 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-6060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515423 | Tina Brock Fallen | Nurse Practitioner | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2005-08-22 |
| 1134531676 | Karem Alvarez | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2014-06-02 |
| 1891134227 | Lauren A.m. Davis | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2013-06-19 |
| 1336494426 | Jennifer Lopez Troy | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2012-07-16 |
| 1063779338 | Melissa Yvonne Greenwood | Nurse Practitioner | 515 S Kings Ave Ste 3100, Brandon, FL 33511-5921 | 2012-04-11 |
| 1750672895 | Sarasija Nagella | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2011-04-24 |
| 1275846115 | Amber R Strazzulla | Physician Assistant | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2010-07-21 |
| 1669606331 | Maya Dhanani Kamath | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2009-05-11 |
| 1528263456 | Steven M Granger | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2007-06-20 |
| 1841286895 | Maruja Fernandez | Obstetrics & Gynecology | 515 S Kings Ave Ste 3100, Brandon, FL 33511-6060 | 2005-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346475399 | Mary A Anderson | Nurse Practitioner | 401 Oakfield Dr, Brandon, FL 33511-5710 | 2009-05-20 |
| 1265678932 | Susan Bryant Purvis | Nurse Practitioner | 401 Oakfield Dr, Brandon, FL 33511-5710 | 2008-12-30 |
| 1548410236 | Linda Ottl | Nurse Practitioner | 116 Parsons Park Dr, Brandon, FL 33511-6066 | 2008-09-30 |
| 1679794242 | Genevieve Kraus | Nurse Practitioner | 401 Oakfield Dr, Brandon, FL 33511-5710 | 2007-05-01 |
| 1356569982 | Jill Curren | Nurse Practitioner | 401 Oakfield Dr, Brandon, FL 33511-5710 | 2007-04-20 |
| 1164516449 | Paula Bryant-barnett | Nurse Practitioner | 401 Oakfield Dr, Brandon, FL 33511-5710 | 2006-10-03 |
| 1952402307 | Alice Honiker | Nurse Practitioner | 116 Parsons Park Dr, Brandon, FL 33511-6066 | 2006-09-26 |
| 1689634735 | Michelle Marion Nash-wernsing | Nurse Practitioner | 505 Oakfield Dr, Brandon, FL 33511-5700 | 2006-03-24 |
| 1205801529 | Pamela Carole Barany | Nurse Practitioner | 401 Oakfield Dr, Brandon, FL 33511-5710 | 2006-02-21 |
| 1386621019 | Judith A. Siron | Nurse Practitioner | 401 Oakfield Dr., Brandon, FL 33511 | 2005-12-23 |
| Find all providers in BRANDON | ||||
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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.