Active NPI
Lisa Dorner, ARNP
- Obstetrics & Gynecology Nurse Practitioner
- Bradenton, FL
National Provider Identifier
1083661169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 1609232
- Practice address
- 6417 3Rd Ave W
Bradenton, FL 34209-2314 - Phone
- (941) 792-4993
- Fax
- (941) 795-2905
- NPI assigned
- May 27, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 2861872 | FL | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 1609232 | FL | Primary |
Addresses
Primary practice location
6417 3Rd Ave W
Bradenton, FL 34209-2314
Mailing address
6417 3Rd Ave W
Bradenton, FL 34209-2314
Phone (941) 792-4993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2861872 | FL | MD | Women's Health Nurse Practitioner |
| 1609232 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manatee Gynecology P a | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083661169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6417 3RD AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342092314",
"telephone_number": "941-792-4993",
"fax_number": "941-795-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6417 3RD AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342092314",
"telephone_number": "941-792-4993",
"fax_number": "941-795-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORNER",
"first_name": "LISA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "2861872",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "1609232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.