Lisa Casazza

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11014159 Issued in FL

Practice address

16515 S 40TH St Ste 143
Phoenix, AZ 85048-0560

Phone

(480) 712-8319

Fax

(480) 712-1305

NPI assigned

Jul 14, 2021

Last updated

Feb 26, 2023By 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

Medicare fee-for-service enrollment

Enrolled in FL, TX, AL, WA, AZ, OR6 enrollments

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 6

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athena Medical GroupGroup PAC ID 8921358706, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athena Medical Group

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1164918124

  AL, FL, Nurse Practitioner, OR, TX, WA

  Medicare reassignment Care Compare group NPD
• Metrolina Infectious Diseases, P.a.

  • Specialist
  • Venice, FL
  • NPI 1851560478
  Medicare reassignment NPD
• Beyond Health Medical Group

  • Internal Medicine Physician
  • Apollo Beach, FL
  • NPI 1730769035
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1306418819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 N DEXTER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336041301",
            "telephone_number": "813-458-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST STE 143",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480560",
            "telephone_number": "480-712-8319",
            "fax_number": "480-712-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 Lookout Dr",
            "address_purpose": "LOCATION",
            "city": "Apollo Beach",
            "state": "FL",
            "postal_code": "335722664",
            "country_code": "US",
            "telephone_number": "813-409-4587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 Palermo Pl",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342852821",
            "country_code": "US",
            "telephone_number": "941-244-9524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASAZZA",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11014159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatore Frank Casano, M.D.
• Jennifer G Casanova, MD
• Joselyn Casas
• Nayeli Casas
• Casawera Assisted Living LLC
• Mary Catherine Casciano Lovely, L.P.C.
• Caleb Matthew Case, PT
• Caselli Avenue Professionals (North Mountain Cardio Health & Fitness)
• Caselli Avenue Professionals LLC
• Jordynn Casetta

• Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.