Lisa Carol Reisner, A.R.N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP 0935622 Issued in FL

Practice address

433 SW 10TH St
Ocala, FL 34471-0209

Phone

(352) 732-4032

Fax

(352) 732-4191

NPI assigned

Oct 4, 2005

Last updated

Jun 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisa Carol Rothenberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1255328225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346545518",
            "telephone_number": "727-484-7722",
            "fax_number": "727-484-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 SW 10TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710209",
            "telephone_number": "352-732-4032",
            "fax_number": "352-732-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISNER",
        "first_name": "LISA",
        "middle_name": "CAROL",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 0935622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015120300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ROTHENBERG",
            "middle_name": "CAROL",
            "credential": "A.R.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonnel Reid, SLP-A
• Ozietta Yvonne Reid, MS
• Dena Reinold, MSW
• Christian Reintgen, MD
• Frank Frederick Reisner, M.D.
• Faith Rembish
• Renaissance Medical Clinic LLC
• Renal Treatment Centers-Southeast LP (Ocala Regional Kidney Center West)
• Renal Treatment Centers-Southeast, LP. (Ocala Regional Kidney Ctrs Home Dialysis Division)
• Renal Treatment Centers-Southeast, LP. (Ocala Regional Kidney Center - East)

• Adult Health Nurse Practitioner in Ocala, FL
• Providers in Ocala, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.