Individual provider Active NPI

Lisbey Valle, ARNP

  • Adult Health Nurse Practitioner
  • Dade City, FL
National Provider Identifier
1588007223
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9269488 Issued in FL
Practice address
38503 Centennial Rd
Dade City, FL 33525-1654
Phone
(813) 346-3500
Fax
(813) 346-3591
NPI assigned
Apr 11, 2013
Last updated
Feb 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9269488 FL Primary

Addresses

Primary practice location

38503 Centennial Rd
Dade City, FL 33525-1654

Mailing address

38503 Centennial Rd
Dade City, FL 33525-1654
Phone (813) 346-3500

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center of Brandon LLC CurrentSince Apr 17, 2013 Accepting new patients

Locations

1150 Bell Shoals Rd
Brandon, FL 33511
Phone (813) 681-6064

205 S Moon Ave
Ste 105
Brandon, FL 33511
Phone (813) 681-6064

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1588007223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38503 CENTENNIAL RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335251654",
            "telephone_number": "813-346-3500",
            "fax_number": "813-346-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38503 CENTENNIAL RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335251654",
            "telephone_number": "813-346-3500",
            "fax_number": "813-346-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "LISBEY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9269488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.