Active NPI
Alisa Suzanne Pierce-Kee, MD
- Pediatrics Physician
- Lutz, FL
National Provider Identifier
1437353554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME99227
- Practice address
- 4683 Van Dyke Rd
Lutz, FL 33558-4880 - Phone
- (813) 968-7171
- Fax
- (813) 443-8167
- NPI assigned
- Jun 13, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME99227 | FL | Primary |
Addresses
Primary practice location
4683 Van Dyke Rd
Lutz, FL 33558-4880
Mailing address
PO Box 743409
Atlanta, GA 30374-3409
Phone (727) 532-0002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81041 | Other | FL | BLUE CROSS BLUE SHIELD |
| 278753900 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group Pediatric Walk-in, LLC | Pediatrics | Past | Accepting new patients |
| Baycare Medical Group Pediatric Walk-in Care LLC | Pediatrics | Past | Accepting new patients |
| Baycare Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- alisas.pierce-kee@direct.mybaycare.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Lutz, FL
- NPI 1861850117
-
- Pediatrics Physician
- Tampa, FL
- NPI 1679724488
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1437353554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743409",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743409",
"telephone_number": "727-532-0002",
"fax_number": "727-532-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4683 VAN DYKE RD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335584880",
"telephone_number": "813-968-7171",
"fax_number": "813-443-8167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE-KEE",
"first_name": "ALISA",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME99227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "81041",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278753900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.