Active NPI
Lisa Vallee, LPN
- Licensed Practical Nurse
- Orlando, FL
National Provider Identifier
1215178595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5148922
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001720700 | Medicaid | FL | |
| PN5148922 | Other | FL | DOH |
Other names 1
- Heart&Soul Homecare
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN5148922 | FL | MD | Licensed Practical Nurse |
| D251533717990 | FL | MD | Driver |
| 231354 | FL | MD | Attendant 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.