Active NPI
Lisa Marie Pedone
- Licensed Practical Nurse
- Spring Hill, FL
National Provider Identifier
1558504563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5156411
- Practice address
- 2495 Statler Ave
Spring Hill, FL 34609-3359 - Phone
- (352) 398-5787
- Fax
- (352) 686-8219
- NPI assigned
- Apr 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5156411 | FL | Primary |
Addresses
Primary practice location
2495 Statler Ave
Spring Hill, FL 34609-3359
Mailing address
2495 Statler Ave
Spring Hill, FL 34609-3359
Phone (352) 398-5787
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN5156411 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1558504563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2495 STATLER AVE",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346093359",
"telephone_number": "352-398-5787",
"fax_number": "352-686-8219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 STATLER AVE",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346093359",
"telephone_number": "352-398-5787",
"fax_number": "352-686-8219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDONE",
"first_name": "LISA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-07",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5156411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.