Annet Tamara Lister Perez, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN110078 Issued in FL

Practice address

3501 Del Prado Blvd S Ste 303
Cape Coral, FL 33904-7222

Phone

(239) 317-0265

Fax

(239) 673-7681

NPI assigned

Jul 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Florida Behavioral Center, IncGroup PAC ID 2668791435, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Florida Behavioral Center, Inc

  • Community/Behavioral Health Agency
  • Doral, FL
  • NPI 1912334863
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1164040259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 SE 19TH LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339904532",
            "telephone_number": "305-572-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 DEL PRADO BLVD S STE 303",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047222",
            "telephone_number": "239-317-0265",
            "fax_number": "239-673-7681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1123 SE 19th Ln",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339904532",
            "country_code": "US",
            "telephone_number": "305-572-3747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISTER PEREZ",
        "first_name": "ANNET",
        "middle_name": "TAMARA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11007889",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN110078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109138300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandro Linares Herrera
• Linares Living LLC
• Migdalina Linares Lopez
• Alexandrea Janice Lindberg-Lobosco, APRN
• Roxana Lirio
• Little Sailors Healthcare Corp
• Anna Yat See Liu
• Living Well Counseling and Consulting LLC
• Grace Lizzul-Giliberti, RPH
• Sandra Haydee Llanes Pereira

• Psychiatric/Mental Health Nurse Practitioner in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.