Individual provider Active NPI

Lisa Vallee, LPN

  • Licensed Practical Nurse
  • Orlando, FL
National Provider Identifier
1215178595
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5148922 Issued in FL
Practice address
3936 S Semoran Blvd
#276
Orlando, FL 32822-4015
Phone
(407) 601-3654
Fax
(407) 802-2759
NPI assigned
Mar 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X D251533717990 FL
Chore Provider 372500000X 231354 FL
Adult Companion 372600000X 231354 FL
Attendant Care Provider 3747A0650X 231354 FL
Homemaker 376J00000X 231354 FL
Licensed Practical Nurse 164W00000X PN5148922 FL Primary

Addresses

Primary practice location

3936 S Semoran Blvd
#276
Orlando, FL 32822-4015

Mailing address

3936 S Semoran Blvd
#276
Orlando, FL 32822-4015
Phone (407) 601-3654

Other identifiers 2

IdentifierTypeStateIssuer
001720700MedicaidFL
PN5148922OtherFLDOH

Other names 1

  • Heart&Soul Homecare Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN5148922FLMDLicensed Practical Nurse
D251533717990FLMDDriver
231354FLMDAttendant Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1215178595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 S SEMORAN BLVD",
            "address_2": "#276",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224015",
            "telephone_number": "407-601-3654",
            "fax_number": "407-802-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 S SEMORAN BLVD",
            "address_2": "#276",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224015",
            "telephone_number": "407-601-3654",
            "fax_number": "407-802-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEE",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "D251533717990",
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "FL",
            "license": "231354",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "231354",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "FL",
            "license": "231354",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "231354",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5148922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001720700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "PN5148922",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEART&SOUL",
            "last_name": "HOMECARE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.