Lisa King, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11017843 Issued in FL

Practice address

2200 Glades Rd Ste 305
Boca Raton, FL 33431-7348

Phone

(561) 208-5809

NPI assigned

Mar 22, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1356090773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GLADES RD STE 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317348",
            "telephone_number": "561-208-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GLADES RD STE 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317348",
            "telephone_number": "561-208-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LISA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinesis Inc
• Elizabeth King, OT
• Gabrielle King, MOT
• Jacqueline Vazquez King, LCSW
• Jason King
• Samuel Anthony Ricardo King, LCSW, MS, EMDR
• Kingsley Clinic of Florida LLC
• Jacquelyn Kingston
• Kyle J Kinmon, D.P.M.
• Kioko, LLC

• All providers in Boca Raton, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.