Active NPI
Lisa Kataria Wilson, APRN
- Family Nurse Practitioner
- Delray Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9262636
- Practice address
- 1690 S Federal Hwy
Delray Beach, FL 33483-5030 - Phone
- (561) 272-1163
- NPI assigned
- Oct 18, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9262636 | FL | Primary |
Addresses
Primary practice location
1690 S Federal Hwy
Delray Beach, FL 33483-5030
Mailing address
1690 S Federal Hwy
Delray Beach, FL 33483-5030
Phone (561) 272-1163
Other practice location 1
3599 W Hillsboro Blvd
Deerfield Beach, FL 33442-9404
Phone (954) 333-5214
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12401 Miramar Pkwy
Miramar, FL 33027-2900
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9262636 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Primary Care PLLC | Family | Current | Accepting new patients |
Locations
650 N Congress Ave
Boynton Beach, FL 33426
Phone (561) 396-2202
5800 S University Dr
Davie, FL 33328
Phone (954) 252-2583
3599 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 333-5214
1690 S Federal Hwy
Delray Beach, FL 33483
Phone (561) 272-1163
121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380
8740 SW 40th St
Miami, FL 33165
Phone (305) 221-8337
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473
8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840
1501 S Federal Hwy
Pompano Beach, FL 33062
Phone (954) 788-0739
7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Spring, TX
- NPI 1770354763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1619305166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 S FEDERAL HWY",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835030",
"telephone_number": "561-272-1163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 S FEDERAL HWY",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835030",
"telephone_number": "561-272-1163"
}
],
"practiceLocations": [
{
"address_1": "3599 W Hillsboro Blvd",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334429404",
"country_code": "US",
"telephone_number": "954-333-5214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "LISA",
"middle_name": "KATARIA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-18",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9262636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.