Individual provider Active NPI

Lisa M Parker, APRN

  • Adult Health Nurse Practitioner
  • Sebastian, FL
National Provider Identifier
1043838451
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11009100 Issued in FL
Practice address
13110 US Highway 1
Sebastian, FL 32958-3735
Phone
(772) 581-8900
Fax
(772) 388-9154
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X F05200224 FL
Adult Health Nurse Practitioner 363LA2200X 11009100 FL Primary

Addresses

Primary practice location

13110 US Highway 1
Sebastian, FL 32958-3735

Mailing address

13110 US Highway 1
Sebastian, FL 32958-3735
Phone (772) 581-8900

Other practice location 1

1250 S Harbor City Blvd
Melbourne, FL 32901-3242
Phone (321) 725-8919

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Libraaestheticsandwellness@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201000904 FL Practitioner - Nurse Practitioner 6901296243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitions Healthcare LLCGroup PAC ID 5890166631, 18 clinicians

Practice addresses (Care Compare)

15500 Roosevelt Blvd
Suite 101
Clearwater, FL 33760-3430
Phone (727) 214-4622

Merit-based Incentive Payment System (MIPS)

Final score
86.68 of 100Reported as group
Quality
77.69
Promoting interoperability
99
Improvement activities
40
Cost
72.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F05200224FLMDAdult Medicine Physician
11009100FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Healthcare LLC CurrentSince Apr 15, 2025 Accepting new patients
Renew Wound Care of Florida LLC CurrentSince Jul 11, 2024 Accepting new patients

Locations

15500 Roosevelt Blvd
Ste 101
Clearwater, FL 33760
Phone (727) 214-4622

3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7185

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1043838451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583735",
            "telephone_number": "772-581-8900",
            "fax_number": "772-388-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13110 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583735",
            "telephone_number": "772-581-8900",
            "fax_number": "772-388-9154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Harbor City Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013242",
            "country_code": "US",
            "telephone_number": "321-725-8919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "F05200224",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11009100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Libraaestheticsandwellness@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Practice management",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7955 Bay St Ste 2",
            "city": "Sebastian",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329583282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.