Active NPI
Lisa M Clontz, RNFA
- Registered Nurse
- Sanford, FL
National Provider Identifier
1356536932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 2740032
- Practice address
- 819 E 1St St
Sanford, FL 32771-1467 - Phone
- (407) 322-7841
- Fax
- (407) 322-1778
- NPI assigned
- Sep 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 2740032 | FL | Primary |
Addresses
Primary practice location
819 E 1St St
Sanford, FL 32771-1467
Mailing address
819 E 1St St
Sanford, FL 32771-1467
Phone (407) 322-7841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 2740032 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1356536932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 E 1ST ST",
"city": "SANFORD",
"state": "FL",
"postal_code": "327711467",
"telephone_number": "407-322-7841",
"fax_number": "407-322-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 E 1ST ST",
"city": "SANFORD",
"state": "FL",
"postal_code": "327711467",
"telephone_number": "407-322-7841",
"fax_number": "407-322-1778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLONTZ",
"first_name": "LISA",
"middle_name": "M",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN 2740032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.