Individual provider Active NPI

Lisa Michelle Loyless, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1235849829
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11022077 Issued in FL
Practice address
1260 S Martin Luther King Jr Ave
Clearwater, FL 33756-4172
Phone
(727) 824-8181
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11022077 FL Primary

Addresses

Primary practice location

1260 S Martin Luther King Jr Ave
Clearwater, FL 33756-4172

Mailing address

14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250210002171 FL Practitioner - Nurse Practitioner 6305376146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11022077FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Pinellas Inc Current Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince Jan 24, 2024 Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince Jan 24, 2024 Accepting new patients

Locations

14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224

5523 Roosevelt Blvd
Clearwater, FL 33760

1260 S Mlk Jr Ave
Clearwater, FL 33756
Phone (727) 824-2121

14100 58th St N
Clearwater, FL 33760

26286 US Highway 19 N
Ste B
Clearwater, FL 33761
Phone (727) 824-8100

9064 NW 13th Ter
Doral, FL 33172
Phone (305) 801-6989

7550 43rd St N
Pinellas Park, FL 33781
Phone (727) 290-4222

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

612 Dr Martin Luther King Jr St N
St Petersburg, FL 33705

1344 22nd St S
St Petersburg, FL 33712
Phone (727) 821-6701

247 S Huey Ave
Tarpon Springs, FL 34689
Phone (727) 944-3828

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1235849829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 58TH ST N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337609900",
            "telephone_number": "727-824-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S MARTIN LUTHER KING JR AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564172",
            "telephone_number": "727-824-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYLESS",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11022077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.