Individual provider Active NPI

Lisa Carmen Magary, DNP

  • Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1083743207
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9234311 Issued in FL
Practice address
919 NW 57TH St Ste 10
Gainesville, FL 32605-6437
Phone
(352) 474-8686
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP9234311 FL
Nurse Practitioner 363L00000X ARNP9234311 FL Primary

Addresses

Primary practice location

919 NW 57TH St Ste 10
Gainesville, FL 32605-6437

Mailing address

919 NW 57TH St Ste 10
Gainesville, FL 32605-6437
Phone (352) 474-8686

Other identifiers 1

IdentifierTypeStateIssuer
308334900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1083743207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 NW 57TH ST STE 10",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056437",
            "telephone_number": "352-474-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 NW 57TH ST STE 10",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056437",
            "telephone_number": "352-474-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGARY",
        "first_name": "LISA",
        "middle_name": "CARMEN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9234311",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9234311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308334900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.