LISA SCHMIDT (NPI# 1356433429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356433429 |
| Entity Type | Individual |
| Full Name | LISA SCHMIDT |
| Credential | ARNP BC |
| Practice Address |
4884 Deer Lake Drive West Jacksonville FL 32246 |
| Mailing Address |
Po Box 44230 Jacksonville FL 32231-4230 |
| Practice Telephone | 9043763800 |
| Practice Fax Number | 9043763998 |
| Mailing Telephone | 9043763800 |
| Mailing Fax Number | 9043763998 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4704163754 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP9444692 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021517900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 San Sebastian Vw Ste 2102, St Augustine, FL 320848695 | 8005394228 | 9042096288 |
| 4884 Deer Lake Drive West, Jacksonville, FL 32246 | 9043763800 | 9043763998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871932012 | Lisa R Schmidt | Counselor | 8040 E Morgan Trl Ste 7, Scottsdale, AZ 85258-1233 | 2013-06-20 |
| 1659505469 | Lisa Rene' Schmidt | Day Training, Developmentally Disabled Services | 3204 Gulfview Dr, Hernando Beach, FL 34607-3033 | 2009-05-07 |
| 1912181041 | Lisa Susan Schmidt | Occupational Therapist | 24 Moore St, Chelmsford, MA 01824-3212 | 2007-12-26 |
| 1710923420 | Lisa I Schmidt | General Practice | 33 Calle Don Chemary, Moca, PR 00676 | 2006-06-21 |
| 1508862202 | Lisa M Schmidt | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207 | 2005-06-27 |
| 1508466822 | Lisa Schmidt | Pharmacy | 60 Noble Blvd, Carlisle, PA 17013-4119 | 2020-10-27 |
| 1548877251 | Lisa Schmidt | Speech-Language Pathologist | 1005 W Jefferson Blvd Ste 100, Dallas, TX 75208-5090 | 2020-09-26 |
| 1407202807 | Lisa Wei Schmidt | Physician Assistant | 4745 Ogletown Stanton Rd, Ste 225, Newark, DE 19713-2067 | 2016-05-04 |
| 1336586320 | Lisa Lynn Schmidt | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2013-05-30 |
| 1538442330 | Lisa M Schmidt | Pharmacist | 1203 W Fond Du Lac St, Ripon, WI 54971-9289 | 2011-09-28 |
| Street Address |
4884 DEER LAKE DRIVE WEST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831413236 | Harry W Williams Jr. | Counselor | 4884 Deer Lake Drive West, Jacksonville, FL 32246 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179863 | Samar A Ibrahim | Pharmacist | 1305 N Orange Ave Green Cove Springs, Jacksonville, FL 32246 | 2019-11-19 |
| 1386290898 | Kelsey R Clevenger | Chiropractor | 4413 Town Center Parkway, Ste. 205, Jacksonville, FL 32246 | 2019-08-12 |
| 1700449006 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4712 Lake Center Drive, Space 107, Jacksonville, FL 32246 | 2019-04-22 |
| 1205399946 | Usa United Surgical Assistants | Clinic/Center | Bahri Surgical Center, 9726 Touchton Rd, Jacksonville, FL 32246 | 2019-04-10 |
| 1780173526 | Jules Novall LLC | Taxi | 4600 Touchton Rd, Jacksonville, FL 32246 | 2018-05-08 |
| 1740636307 | Jonathan David Browning | Psychiatry & Neurology | 4884 Deer Creek Drive W, Jacksonville, FL 32246 | 2016-05-12 |
| 1952770463 | Alignment Healthcare Florida LLC | Clinic/Center | 3520-1 St. Johns Bluff Rd., Jacksonville, FL 32246 | 2015-09-15 |
| 1558739417 | Jessica Brake | Physical Therapist | 9726 Touchton Road, Suite 104, Jacksonville, FL 32246 | 2015-09-09 |
| 1043686256 | Healthyeye Dba Vision Express LLC | Optometrist | 4871 Town Center Parkway #5, Jacksonville, FL 32246 | 2015-08-12 |
| 1477954675 | Joanivette Rodriguez | Psychologist | 3451 Saland Way Apt 504, Jacksonville, FL 32246 | 2014-09-08 |
| Find all providers in zip 32246 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691843 | Eralene Manangan | Nurse Practitioner | 4205 Belfort Rd Ste 4030, Jacksonville, FL 32216-1475 | 2020-08-28 |
| 1306456025 | Richard Mercer | Nurse Practitioner | 3545 Saint Johns Bluff Rd S Ste 137, Jacksonville, FL 32224-2682 | 2020-08-06 |
| 1467060434 | Rebecca Bertone | Nurse Practitioner | 8540 Turkey Oaks Dr S, Jacksonville, FL 32277-2920 | 2020-07-16 |
| 1861018616 | Octavia J Robertson | Nurse Practitioner | 3562 Boone Park Ave, Jacksonville, FL 32205-8433 | 2020-06-17 |
| 1902428568 | Kimberly J Grant | Nurse Practitioner | 8680 Baymeadows Rd E Apt 1413, Jacksonville, FL 32256-4002 | 2020-05-17 |
| 1447710900 | Shannska Atis | Nurse Practitioner | 580 W 8th St Fl II5, Jacksonville, FL 32209-6533 | 2019-03-21 |
| 1811462237 | Dzenefa Ramic | Nurse Practitioner | 10175 Fortune Pkwy Unit 206, Jacksonville, FL 32256-6748 | 2018-10-11 |
| 1851871024 | Shakhia Grant | Nurse Practitioner | 3636 University Blvd S Ste B, Jacksonville, FL 32216-4223 | 2018-08-17 |
| 1295230845 | Lacey Cawthron | Nurse Practitioner | 8130 Baymeadows Cir W Ste 109, Jacksonville, FL 32256-1837 | 2018-03-27 |
| 1083116107 | Kbn Healthcare, Pllc | Nurse Practitioner | 9471 Baymeadows Rd Ste 3, Jacksonville, FL 32256-7932 | 2018-03-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32246 |
Please comment or provide details below to improve the information on LISA SCHMIDT.
| 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.