Active NPI
Lisa Kimberly McAlavy Siewert, PAC
- Physician Assistant
- St Petersburg, FL
National Provider Identifier
1467540815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103723
- Practice address
- 701 6TH St S
St Petersburg, FL 33701-4814 - Phone
- (727) 823-1234
- NPI assigned
- Oct 11, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103723 | FL | Primary |
Addresses
Primary practice location
701 6TH St S
St Petersburg, FL 33701-4814
Mailing address
PO Box 10030
Daytona Beach, FL 32120-0030
Phone (386) 274-7800
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Gulf Coast Hma Physician Management LLC | Past | Accepting new patients |
Interoperability endpoints
- lsiewert188925@orlandohealth.medalliesdirect.net
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1538858774
-
- Emergency Medicine Physician
- Pinellas Park, FL
- NPI 1023590056
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1851726566
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Internal Medicine Physician
- Venice, FL
- NPI 1407806094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249257600000",
"number": "1467540815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10030",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321200030",
"telephone_number": "386-274-7800",
"fax_number": "386-274-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 6TH ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014814",
"telephone_number": "727-823-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEWERT",
"first_name": "LISA KIMBERLY",
"middle_name": "MCALAVY",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2009-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.