Lissa West, FNP

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

07609 Issued in TN

Practice address

3606 Maclay Blvd Ste 102
Tallahassee, FL 32312

Phone

(805) 877-1162

Fax

(850) 671-5009

NPI assigned

Feb 17, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Elizabeth Alice West Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1003055955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 MACLAY BLVD STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32312",
            "telephone_number": "805-877-1162",
            "fax_number": "850-671-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 MACLAY BLVD STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32312",
            "telephone_number": "805-877-1162",
            "fax_number": "850-671-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "LISSA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TN",
            "license": "115113 R.N.",
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "TN",
            "license": "7609 A.P.N.",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TN",
            "license": "07609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440116",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WEST",
            "middle_name": "ALICE",
            "credential": "R.N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela Wessling
• Amy West
• Christopher Paul West, PHARMD
• Josie West, MSW
• Keith West, DC
• Mary A West, ARNP
• Katoria L Westbrook, DNP, APRN, AGPCNP-BC
• Joel Carl Westby, LCSW
• Tonia Westerfield
• Emma Westley

• Pediatric Registered Nurse in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Pediatric Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.