Individual provider Active NPI

Lisa Byrd, PHD,APRN,FNP-BC,GNP-

  • Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1407845829
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9467482 Issued in FL
Practice address
880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0030800 OH
Nurse Practitioner 363L00000X APRN9467482 FL Primary
Nurse Practitioner 363L00000X 3-001421 AL
Nurse Practitioner 363L00000X APRN-4525 HI
Nurse Practitioner 363L00000X SP030874 PA
Nurse Practitioner 363L00000X GAA-NP005107 GA
Nurse Practitioner 363L00000X AP60485691 WA
Nurse Practitioner 363L00000X 1059111 TX
Nurse Practitioner 363L00000X 201508268NPPP OR
Nurse Practitioner 363L00000X AP06038 LA
Nurse Practitioner 363L00000X M0137542 OK
Nurse Practitioner 363L00000X 34910 TN
Nurse Practitioner 363L00000X 209.024394 IL
Nurse Practitioner 363L00000X C-APN.0102177-C-NP CO
Nurse Practitioner 363L00000X 652075 MS

Addresses

Primary practice location

880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

1500 N Halsted St Ofc 403
Chicago, IL 60642-2517
Phone (877) 762-3515

Other practice location 2

3700 Park East Dr Ste 450
Beachwood, OH 44122-4318
Phone (877) 762-3515

Other practice location 3

20405 State Highway 249 Ste 325
Houston, TX 77070-2893
Phone (713) 597-5114

Other practice location 4

500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902
Phone (866) 849-0692

Other practice location 5

16435 N Scottsdale Rd Ste 285
Scottsdale, AZ 85254-1680
Phone (877) 762-3515

Other identifiers 1

IdentifierTypeStateIssuer
00117435MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmglicenseupdates@devoted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, FL, AZ, IL, TX, OR, TN, AL, HI, WA, PA, MO12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20080925000564 MS Practitioner - Nurse Practitioner 0042398133 Reassigns benefits to 1 organization
I20180228000533 FL Practitioner - Nurse Practitioner 0042398133 Reassigns benefits to 1 organization
I20221012001428 AZ Practitioner - Nurse Practitioner 0042398133 Reassigns benefits to 1 organization
I20230731001741 IL Practitioner - Nurse Practitioner 0042398133 Reassigns benefits to 1 organization
I20230801002719 TX Practitioner - Nurse Practitioner 0042398133 Reassigns benefits to 1 organization
I20230801003984 OR Practitioner - Nurse Practitioner 0042398133 Reassigns benefits to 1 organization
I20240411001162 TN Practitioner - Nurse Practitioner 0042398133 Reassigns benefits to 1 organization
I20240419000415 AL Practitioner - Nurse Practitioner 0042398133
I20240422002316 HI Practitioner - Nurse Practitioner 0042398133 Reassigns benefits to 1 organization
I20241007001160 WA Practitioner - Nurse Practitioner 0042398133 Reassigns benefits to 1 organization
I20241022000931 PA Practitioner - Nurse Practitioner 0042398133 Reassigns benefits to 1 organization
I20241025002232 MO Practitioner - Nurse Practitioner 0042398133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3-001421ALMDNurse Practitioner
C-APN.0102177-C-NPCOMDNurse Practitioner
APRN9467482FLMDNurse Practitioner
GAA-NP005107GAMDNurse Practitioner
209.024394ILMDNurse Practitioner
AP06038LAMDNurse Practitioner
0030800OHMDNurse Practitioner
M0137542OKMDNurse Practitioner
201508268NPPPORMDNurse Practitioner
34910TNMDNurse Practitioner
1059111TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Medical PA PC CurrentSince Oct 9, 2024 Accepting new patients
Lisa Byrd Healthcare Inc Family Current Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Jun 28, 2023 Accepting new patients
Devoted Medical PC CurrentSince Jun 28, 2023 Accepting new patients
Mississippi Family Doctors Family Medicine Past Accepting new patients
Mississippi Nurse Practitioners Inc Family PastSince Jul 1, 2008 Accepting new patients
Mississippi PHS PC Family Medicine Past Accepting new patients
Crossgates Hma Medical Group LLC Family Medicine Past Accepting new patients

Locations

200 S Wacker Dr
Fl 31
Chicago, IL 60606
Phone (312) 674-4746

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

20405 State Highway 249
Ste 325
Houston, TX 77070
Phone (713) 597-5114

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1407845829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SW 145TH AVE STE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276171",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N Halsted St Ofc 403",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606422517",
            "country_code": "US",
            "telephone_number": "877-762-3515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Park East Dr Ste 450",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441224318",
            "country_code": "US",
            "telephone_number": "877-762-3515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20405 State Highway 249 Ste 325",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770702893",
            "country_code": "US",
            "telephone_number": "713-597-5114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Ala Moana Blvd Ste 7400",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968134902",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821",
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            "address_type": "DOM"
        },
        {
            "address_1": "16435 N Scottsdale Rd Ste 285",
            "address_purpose": "LOCATION",
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            "state": "AZ",
            "postal_code": "852541680",
            "country_code": "US",
            "telephone_number": "877-762-3515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "PHD,APRN,FNP-BC,GNP-",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0030800",
            "primary": false
        },
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            "taxonomy_group": "",
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            "primary": true
        },
        {
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            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
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            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-4525",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030874",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "GAA-NP005107",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60485691",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1059111",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201508268NPPP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06038",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "M0137542",
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        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "34910",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.024394",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0102177-C-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "652075",
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        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117435",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmglicenseupdates@devoted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "880 SW 145th Ave Ste 202",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330276171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.