Lisa M Deese, CNA
Individual provider Active NPI Home Health Aide · Cottondale, FL
NPI 1225811516 · NPPES record last updated Aug 18, 2023
Key facts
- NPI
- 1225811516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 2828 Deese LN
Cottondale, FL 32431-7356 - Phone
- (850) 693-5135
- NPI assigned
- Aug 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide |
374U00000X | Yes |
Addresses
Primary practice location
2828 Deese LN
Cottondale, FL 32431-7356
Mailing address
2828 Deese LN
Cottondale, FL 32431-7356
Phone (850) 693-5135
Other providers in Cottondale, FL
- Carolyn Wray Baldwin
- Winter Caldwell
- Victoria Frankie
- Athena E Glisson
- Derrick Jermell Henderson
- Stacey Hinson
- Michael W Jeter
All providers in Cottondale, FL · Home Health Aide in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.