Lisa Ann Rose, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP1867772 Issued in FL

Practice address

2724 Park Dr
Clearwater, FL 33763-1020

Phone

(727) 796-2444

Fax

(727) 796-7653

NPI assigned

Aug 7, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Kay Primary Care Inc

  • Family Medicine Physician
  • Tarpon Springs, FL
  • NPI 1235656992
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285643262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 PARK DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631020",
            "telephone_number": "727-796-2444",
            "fax_number": "727-796-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 PARK DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631020",
            "telephone_number": "727-796-2444",
            "fax_number": "727-796-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP1867772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph A Rophie, M.D.
• Zahira Rosario-Benitez, PA
• Lynda Rosario
• Jared Lynne Roscoe, D.C.
• Autumn Joy Rose, CRNA
• Sofia Rose, DO
• Adam Michael Rosen, MD
• Robert J Rosen, MD
• Jay Rosenfeld, OD
• Sheri A Rosenthal, DPM

• Adult Health Nurse Practitioner in Clearwater, FL
• Providers in Clearwater, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.