Lisa K. Bork, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9466961 Issued in FL

Practice address

1665 SW Highway 484 Ste 105
Ocala, FL 34473-1996

Phone

(352) 693-5900

Fax

(352) 693-5805

NPI assigned

Sep 28, 2006

Last updated

Jun 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17462/brand/2/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Absolute Health Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Ocala, FL
  • NPI 1891866083
  NPD
• Pathways Clinical Partners, LLC

  • Hospitalist Physician
  • Leesburg, FL
  • NPI 1477124790
  NPD
• Visiting Nurse Services of Central Florida LLC

  • Home Health Agency
  • Leesburg, FL
  • NPI 1982947263
  NPD
• Roger C Roque MD PA

  dba St. Francis Primary Care Clinic

  • Family Medicine Physician
  • Eustis, FL
  • NPI 1932215043
  NPD (past)
• Roger Roque MD LLC

  dba St Francis Primary Care Clinic

  • Multi-Specialty Clinic/Center
  • Leesburg, FL
  • NPI 1205571015
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Woodbine Family Medical

  • Family Medicine Physician
  • Woodbine, NJ
  • NPI 1962794420
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1013008390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEMOURS CHILDRENS CLINIC",
            "address_2": "P.O. BOX 404112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840001",
            "telephone_number": "904-390-3610",
            "fax_number": "904-288-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 SW HIGHWAY 484 STE 105",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344731996",
            "telephone_number": "352-693-5900",
            "fax_number": "352-693-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORK",
        "first_name": "LISA",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9466961",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "DE",
            "license": "L10018050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4039858",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023825",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@absolutequickcare.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1665 SW Highway 484 Ste 105",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344731996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@absolutequickcare.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1665 SW Highway 484 Ste 105",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344731996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Allan Bookbinder, M.D.
• John Daniel Boon IV, MD
• Michel Bordon Cabrera
• Natalie Boren, APRN FNP-C
• Clarice Borgella
• David Alexander Borrelli, MD
• Jason Borroto
• Nicole Michelle Borst, D.O.
• Heather Renee Bostick, APRN
• Jamie M Bostick

• Family Nurse Practitioner in Ocala, FL
• Providers in Ocala, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.