Individual provider Active NPI

Lisa Wesley, APRN, FNP-BC

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1144878836
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003548 Issued in FL
Practice address
3900 Clark Rd Ste B1
Sarasota, FL 34233-2369
Phone
(941) 926-3100
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11003548 FL Primary

Addresses

Primary practice location

3900 Clark Rd Ste B1
Sarasota, FL 34233-2369

Mailing address

3900 Clark Rd Ste B3
Sarasota, FL 34233-2369
Phone (413) 790-0889

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
I20200311000305 FL Practitioner - Nurse Practitioner 5991133662 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003548FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Healing Arts Medical Center, Inc. CurrentSince Feb 1, 2023 Accepting new patients

Locations

2215 59th St W
#A
Bradenton, FL 34209
Phone (941) 761-4994

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1144878836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD STE B3",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332369",
            "telephone_number": "413-790-0889",
            "fax_number": "941-379-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD STE B1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332369",
            "telephone_number": "941-926-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "LISA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.