Active NPI
Lisa T Deguzman, RRT
- Neonatal/Pediatric Registered Respiratory Therapist
- Orlando, FL
National Provider Identifier
1376699835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal/Pediatric Registered Respiratory Therapist
- License
- RT3977
- Practice address
- 83 Columbia St
Orlando, FL 32806-1101 - Phone
- (407) 650-7000
- NPI assigned
- Jan 26, 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 |
|---|---|---|---|---|
| Neonatal/Pediatric Registered Respiratory Therapist | 2279P3900X | RT3977 | FL | Primary |
Addresses
Primary practice location
83 Columbia St
Orlando, FL 32806-1101
Mailing address
1886 Crestridge Dr
Clermont, FL 34711-5118
Phone (321) 221-0337
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 |
|---|---|---|---|
| RT3977 | FL | MD | Neonatal/Pediatric Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376699835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1886 CRESTRIDGE DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347115118",
"telephone_number": "321-221-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 COLUMBIA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061101",
"telephone_number": "407-650-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGUZMAN",
"first_name": "LISA",
"middle_name": "T",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2279P3900X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
"state": "FL",
"license": "RT3977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 8, 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.