Lisa Davis

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6905967 Issued in FL

Legal business name

LISA DAVIS

Practice address

1114 Engman St
Clearwater, FL 33755-3219

Phone

(727) 443-0368

NPI assigned

Jul 10, 2013

Organization subpart

No

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

Authorized official

Name

Lisa Davis

Title

Owner

Phone

(727) 443-0368

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1619318318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 ENGMAN ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337553219",
            "telephone_number": "727-443-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 ENGMAN ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337553219",
            "telephone_number": "727-443-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-443-0368"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6905967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142585400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alain Alexander Lipowicz, MSN, FNP-C
• Brian A Lippman, PA
• Amanda R Lipscomb, PA-C
• Jeffrey Todd Lipscomb, PA
• Minas George Liristis
• Lisa Whims-Squires, D.O., PA
• Christopher Ryan Lisek, PHARMD
• Ileana I Liss, P.T.
• Little Doods Therapy
• Christie Ann Little, APRN

• Adult Care Home Facility in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.