Lake Pulmonary Critical Care

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

LAKE PULMONARY CRITICAL CARE

Practice address

1876 Nightingale LN
Tavares, FL 32778-4359

Phone

(352) 343-9943

Fax

(352) 343-0661

NPI assigned

Jul 28, 2006

Last updated

Jan 13, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jessica Lynn Barber

Title

Operations Manaager

Phone

(352) 742-4447

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lakeside Sleep Center Other name

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lake Pulmonary Critical Care

  • Durable Medical Equipment & Medical Supplies
  • Tavares, FL
  • NPI 1184850802
  NPPES parent name

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1396759023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 NIGHTINGALE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784359",
            "telephone_number": "352-343-9943",
            "fax_number": "352-343-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1876 NIGHTINGALE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784359",
            "telephone_number": "352-343-9943",
            "fax_number": "352-343-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PULMONARY CRITICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPERATIONS MANAAGER",
        "authorized_official_telephone_number": "352-742-4447",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "V3034",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "5933487104",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Sleep Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lake County Schools
• Lake County Schools
• Lake Gastroenterology Associates LLC
• Lake Hospital Care Associates PA
• Lake Pulmonary Critical Care
• Lake Pulmonary Critical Care P a
• Lake Rheumatology
• Lakeside Kidney Care, LLC
• Lakeside Kidney Care, LLC
• Lakeside Kidney Care, LLC

• Pulmonary Disease Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.