Chrismarthe Tisma, RN, LNC, CFN

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

12411 NW McGregor LN
Port St Lucie, FL 34987-3056

Phone

(561) 541-7972

NPI assigned

Jun 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1326778333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 NW MCGREGOR LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349873056",
            "telephone_number": "561-541-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 NW MCGREGOR LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349873056",
            "telephone_number": "561-541-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISMA",
        "first_name": "CHRISMARTHE",
        "name_prefix": "Ms.",
        "credential": "RN, LNC, CFN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "881383517",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nursing",
            "affiliation": "N",
            "endpointDescription": "Nursing",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Nursing",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "person",
            "address_1": "12411 NW McGregor Ln",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349873056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark D Times
• Sheryl Timol, APRN
• Timothy S Salib DMD PA
• James Manley Tinsley Jr., D.D.S.
• Pablo H Tirado, MD
• TJ Wellness, LLC
• TMG Medical Management
• Elizabeth Toback, LMHC
• Jacqueline Marie Tobias, MSW, RCSWI, MCAP
• Amanda Tobon

• Rehabilitation Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Rehabilitation Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.