Individual provider Active NPI

Lisa M Trentler, APRN-C

  • Primary Care Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1407558125
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11024539 Issued in FL
Practice address
2810 W Waters Ave
Tampa, FL 33614-1853
Phone
(813) 935-5501
Fax
(813) 933-8784
NPI assigned
Mar 20, 2023
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11024539 FL Primary

Addresses

Primary practice location

2810 W Waters Ave
Tampa, FL 33614-1853

Mailing address

2810 W Waters Ave
Tampa, FL 33614-1853
Phone (813) 935-5501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211004244 FL Practitioner - Nurse Practitioner 5496234114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11507 Heron Hills LN
Riverview, FL 33569-6410

2810 W Waters Ave
Tampa, FL 33614-1853

3815 Maryweather LN
Suite 102
Wesley Chapel, FL 33544-7792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11024539FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Pulmonary Associates,P.a. CurrentSince Dec 21, 2025 Accepting new patients
Olive Health LLC Primary Care CurrentSince Mar 26, 2023 Accepting new patients

Locations

6901 Simmons Loop
Ste 207
Riverview, FL 33578
Phone (813) 868-3052

2810 W Waters Ave
Tampa, FL 33614
Phone (813) 935-5501

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHIHBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1407558125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141853",
            "telephone_number": "813-935-5501",
            "fax_number": "813-933-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141853",
            "telephone_number": "813-935-5501",
            "fax_number": "813-933-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENTLER",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11024539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.