Individual provider Active NPI

Lisa Sue Nerbonne, D.C.

  • Chiropractor
  • Hallandale Beach, FL
National Provider Identifier
1225352669
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9906 Issued in FL
Practice address
1835 E Hallandale Beach Blvd
#563
Hallandale Beach, FL 33009-4619
Phone
(305) 490-6713
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9906 FL Primary

Addresses

Primary practice location

1835 E Hallandale Beach Blvd
#563
Hallandale Beach, FL 33009-4619

Mailing address

1835 E Hallandale Beach Blvd
#563
Hallandale Beach, FL 33009-4619

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
9906FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1225352669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 E HALLANDALE BEACH BLVD",
            "address_2": "#563",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E HALLANDALE BEACH BLVD",
            "address_2": "#563",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094619",
            "telephone_number": "305-490-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERBONNE",
        "first_name": "LISA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.