Individual provider Active NPI

Lisa Jayne Sosa Tuesta, MSN, ARNP, PPCNP-BC

  • Pediatric Nurse Practitioner
  • Miami, FL
National Provider Identifier
1467781914
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP 3361212 Issued in FL
Practice address
3100 SW 62ND Ave
Cardiac Intensive Care Unit, 2ND Floor
Miami, FL 33155-3009
Phone
(305) 666-6511
NPI assigned
Dec 11, 2009
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP 3361212 FL Primary

Addresses

Primary practice location

3100 SW 62ND Ave
Cardiac Intensive Care Unit, 2ND Floor
Miami, FL 33155-3009

Mailing address

4245 SW 179TH Way
Miramar, FL 33029-5077
Phone (954) 558-6917

Other names 1

  • Miss Lisa Jayne Sosa Former name

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)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
ARNP 3361212FLMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1467781914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 SW 179TH WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295077",
            "telephone_number": "954-558-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "address_2": "CARDIAC INTENSIVE CARE UNIT, 2ND FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-666-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA TUESTA",
        "first_name": "LISA",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "MSN, ARNP, PPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP 3361212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SOSA",
            "middle_name": "JAYNE",
            "prefix": "MISS",
            "credential": "MSN, ARNP, PPCNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.