Lance Derek Garrison, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

9612504 Issued in FL

Practice address

3050 Champion Ring Rd
Fort Myers, FL 33905-5599

Phone

(239) 313-2900

NPI assigned

Nov 7, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1275241507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 CHAMPION RING RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055599",
            "telephone_number": "239-313-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CHAMPION RING RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055599",
            "telephone_number": "239-313-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "LANCE",
        "middle_name": "DEREK",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "9612504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Alyssa Garnique, APRN
• Ralph Ronald Garramone Jr., M.D.
• Connie Jean Garrelts, R.PH
• Larry Philip Garrett, M.D.
• Sally Garrett, PA
• Brian J Garrity, D.O.
• Michael J. Gartland, DPT
• Graciela R. Garton, MD
• Gary M. Price, MD, Facp, PA
• Gary Pynckel D.O., P.a.

• Medical-Surgical Registered Nurse in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Medical-Surgical Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.