NPIMap

Organization Active NPI

Lisa D Coventry

  • Clinical Social Worker
  • Oakland Park, FL
National Provider Identifier
1457762163
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6839 Issued in FL
Legal business name
LISA D COVENTRY
Practice address
1400 E Oakland Park Blvd
Suite 100
Oakland Park, FL 33334-4400
Phone
(954) 599-2047
NPI assigned
May 15, 2014
Last updated
Oct 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Lisa D CoventryNPI 1720359409
Title
Owner
Phone
(954) 599-2047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW6839 FL Primary

Addresses

Primary practice location

1400 E Oakland Park Blvd
Suite 100
Oakland Park, FL 33334-4400

Mailing address

1400 E Oakland Park Blvd
Suite 100
Oakland Park, FL 33334-4400
Phone (954) 599-2047

National Provider Directory

National Provider Directory

Locations

1400 E Oakland Park Blvd
Ste 100
Oakland Park, FL 33334
Phone (954) 226-9585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1457762163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E OAKLAND PARK BLVD",
            "address_2": "SUITE 100",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344400",
            "telephone_number": "954-599-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E OAKLAND PARK BLVD",
            "address_2": "SUITE 100",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344400",
            "telephone_number": "954-599-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA D COVENTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "COVENTRY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-599-2047"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.