Lisa Reshae Henderson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2962412 Issued in FL

Practice address

814 N John Young Pkwy
Kissimmee, FL 34741-4912

Phone

(407) 816-0189

Fax

(407) 870-1579

NPI assigned

Apr 30, 2009

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

Other names 1

• Ms. Lisa Reshae Felton Former name

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carespot of Orlando Hsi Urgent Care LLCGroup PAC ID 8921372558, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carespot of Orlando Hsi Urgent Care LLC

  • Urgent Care Clinic/Center
  • Orlando, FL
  • NPI 1306367503
  Medicare reassignment Care Compare group NPD
• Hma/Solantic Joint Venture, LLC

  • Urgent Care Clinic/Center
  • Vero Beach, FL
  • NPI 1689812109
  Medicare reassignment NPD
• Shands/Solantic Joint Venture, LLC

  • Urgent Care Clinic/Center
  • Gainesville, FL
  • NPI 1558595223
  Medicare reassignment NPD
• Solantic of Jacksonville, LLC

  • Urgent Care Clinic/Center
  • Ponte Vedra, FL
  • NPI 1407893100
  Medicare reassignment NPD
• Solantic/South Florida, LLC

  • Urgent Care Clinic/Center
  • Coral Springs, FL
  • NPI 1851344378
  Medicare reassignment NPD

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1497999643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414912",
            "telephone_number": "407-816-0189",
            "fax_number": "407-870-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414912",
            "telephone_number": "407-816-0189",
            "fax_number": "407-870-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LISA",
        "middle_name": "RESHAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2962412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "FELTON",
            "middle_name": "RESHAE",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Helping Hands Human Services, LLC
• Helping Hands Interpreting
• Helping Kids Is Our Happy Place Pediatric Therapy, Inc
• Amanda Henderson, LMHC
• Harold Lenard Henderson, ATC/LAT
• Loretta V Henderson, D.P.M.
• Alicia L Heningburg, LMHC
• Harald J Henningsen, MD
• Carla Henriquez Marques, RBT
• Jessica Klein Henriquez

• Nurse Practitioner in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.