Lissette Villalobo Crespo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11024457 Issued in FL

Practice address

731 S Parsons Ave
Brandon, FL 33511-6058

Phone

(941) 681-4400

Fax

(813) 588-0701

NPI assigned

Feb 28, 2023

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Crystal River Eye Center,LLC

  • Ophthalmology Physician
  • Crystal River, FL
  • NPI 1619119948
  Medicare reassignment NPD
• Medikwa, Inc

  • Ophthalmology Physician
  • Sarasota, FL
  • NPI 1518837715
  Medicare reassignment NPD
• Primelife Health LLC

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1821869389
  Medicare reassignment NPD
• Primelife Health LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1144083577
  NPD

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1447959366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 3RD STREET CIR W APT 524",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071528",
            "telephone_number": "941-681-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116058",
            "telephone_number": "941-681-4400",
            "fax_number": "813-588-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBO CRESPO",
        "first_name": "LISSETTE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Luis Viera, LMT
• Hilda Vigil
• Lisa Marie Vila Comas
• Victoria Villa, APRN
• Sherry Villadiego, MSW
• Andrew Peter Villamagna Jr., MD
• Salvador Villanueva, MD
• Jose Villaplana, MD
• Silvia Marie Villegas Van Der Linde, MD
• Jenny Villegas

• Family Nurse Practitioner in Brandon, FL
• Providers in Brandon, 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 Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.