Lisa Marie Kettlestrings, PA -C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9101628 Issued in FL

Practice address

10000 Bay Pines Blvd
Bay Pines, FL 33744-8200

Phone

(727) 398-6661

Fax

(727) 319-1003

NPI assigned

Jul 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Advanced Wound Systems LLC

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
  • NPI 1508054271
  NPD (past)
• Compass Health Systems, P.a.

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1194392498
  NPD (past)
• Evercare Collaborative Solutions Inc

  • Registered Nurse
  • Minnetonka, MN
  • NPI 1285686378
  NPD (past)
• Nautilus Health Care Group, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Kokomo, IN
  • NPI 1013234699
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1518996263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5005",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "337445005",
            "telephone_number": "727-398-6661",
            "fax_number": "727-319-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "337448200",
            "telephone_number": "727-398-6661",
            "fax_number": "727-319-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTLESTRINGS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "PA -C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9101628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ryan Kelley, PHARM.D.
• Paige Anne Kelley, PHARM.D.
• John Patrick Kelly, M.D.
• Elizabeth Mae Kemfort, LCSW
• Kaitlyn Kerley
• Bernard Khaw, M.D.
• Varun Khedekar, OD
• Abigail Marie King
• Emily G King, PH.D
• Kayla Olivia Kleinman, PSYD

• Physician Assistant in Bay Pines, FL
• Providers in Bay Pines, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.