Lisa Gardner, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11003219 Issued in FL

Practice address

6093 NW 62ND Ter
Parkland, FL 33067-1538

Phone

(954) 578-4000

Fax

(954) 578-4948

NPI assigned

Apr 26, 2022

Last updated

Apr 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1386388213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6093 NW 62ND TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671538",
            "telephone_number": "954-578-4000",
            "fax_number": "954-578-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6093 NW 62ND TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671538",
            "telephone_number": "954-578-4000",
            "fax_number": "954-578-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "LISA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Franco
• Carrie Freed, MSOT
• Fresenius Medical Care Parkland, LLC (Fresenius Kidney Care Parkland)
• Debra Ann Friedman, MD SLP CCC
• Boris Fuzaylov, PHARMD
• Ahuvah Gately
• Avital Gavish
• Kenneth Scott Gegerson, D.M.D.
• Kim S Geiringer
• Ilana Rachel Gersowsky, DO

• Family Nurse Practitioner in Parkland, FL
• Providers in Parkland, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.