Individual provider Active NPI

Lisa Marie Dinard, APRN

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1114225240
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 9186669 Issued in FL
Practice address
6328 Gunn Hwy Ste B
Tampa, FL 33625-4101
Phone
(813) 964-8526
Fax
(813) 964-8536
NPI assigned
Mar 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 9186669 FL Primary

Addresses

Primary practice location

6328 Gunn Hwy Ste B
Tampa, FL 33625-4101

Mailing address

6328 Gunn Hwy Ste B
Tampa, FL 33625-4101
Phone (813) 964-8526

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
I20250210003576 FL Practitioner - Nurse Practitioner 3476773979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9186669FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Park Medical Care Inc CurrentSince Nov 25, 2024 Accepting new patients

Locations

6328 Gunn Hwy
Ste B
Tampa, FL 33625
Phone (813) 964-8526

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1114225240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 GUNN HWY STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254101",
            "telephone_number": "813-964-8526",
            "fax_number": "813-964-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 GUNN HWY STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254101",
            "telephone_number": "813-964-8526",
            "fax_number": "813-964-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINARD",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9186669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.