Individual provider Active NPI

Lisbeth Winterbottom Roy, D.O.

  • General Practice Physician
  • Fort Lauderdale, FL
National Provider Identifier
1487775250
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS9873 Issued in FL
Practice address
6400 N Andrews Ave
Ste 120
Fort Lauderdale, FL 33309-2114
Phone
(561) 444-7751
Fax
(813) 354-3562
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS9873 FL Primary

Addresses

Primary practice location

6400 N Andrews Ave
Ste 120
Fort Lauderdale, FL 33309-2114

Mailing address

6400 N Andrews Ave
Ste 120
Fort Lauderdale, FL 33309-2114
Phone (561) 444-7751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 12, 2013 through Apr 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1487775250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 N ANDREWS AVE",
            "address_2": "STE 120",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092114",
            "telephone_number": "561-444-7751",
            "fax_number": "813-354-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 N ANDREWS AVE",
            "address_2": "STE 120",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092114",
            "telephone_number": "561-444-7751",
            "fax_number": "813-354-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "LISBETH",
        "middle_name": "WINTERBOTTOM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS9873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.