Active NPI
Jennifer L Liska Conner, APRN
- Gerontology Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 11002903
- Practice address
- 1507 S Hiawassee Rd Ste 107
Orlando, FL 32835-5706 - Phone
- (407) 445-9545
- Fax
- (407) 445-9545
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 11002903 | FL | Primary |
| Gerontology Registered Nurse | 163WG0600X | 2279 | WI |
Addresses
Primary practice location
1507 S Hiawassee Rd Ste 107
Orlando, FL 32835-5706
Mailing address
1507 S Hiawassee Rd Ste 107
Orlando, FL 32835-5706
Phone (407) 445-9545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41252100 | Medicaid | WI |
Other names 1
- Jennifer L Liska
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
1507 S Hiawassee Rd
Suite 206
Orlando, FL 32835-5719
Phone 4074459545222
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 445-9545
8066 B Market St
Wilmington, NC 28411-9384
Phone (910) 686-8485
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2279 | WI | MD | Dentist |
| 11002903 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Med-Psych Consultants LLC | Current | Accepting new patients | |
| Orlando Inpatient Medicine, PA | Current | Accepting new patients |
Locations
1507 S Hiawassee Rd
Ste 107
Orlando, FL 32835
Phone (407) 445-9545
1507 S Hiawassee Rd
Ste 206
Orlando, FL 32835
Phone (407) 445-9545
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Orlando, FL
- NPI 1063905925
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1902287899
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1336284660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 S HIAWASSEE RD STE 107",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328355706",
"telephone_number": "407-445-9545",
"fax_number": "407-299-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 S HIAWASSEE RD STE 107",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328355706",
"telephone_number": "407-445-9545",
"fax_number": "407-445-9545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISKA CONNER",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11002903",
"primary": true
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "WI",
"license": "2279",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41252100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "LISKA",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.