Individual provider Active NPI

Lisa Joy Richards, APRN

  • Nurse Practitioner
  • North Port, FL
National Provider Identifier
1619589348
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11008577 Issued in FL
Practice address
4578 N Biscayne Dr
North Port, FL 34291-7081
Phone
(813) 409-6931
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11008577 FL
Nurse Practitioner 363L00000X APRN11008577 FL Primary

Addresses

Primary practice location

4578 N Biscayne Dr
North Port, FL 34291-7081

Mailing address

3656 Log Cabin Rd
North Port, FL 34291-7083
Phone (813) 409-6931

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230211000332 FL Practitioner - Nurse Practitioner 8426420886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11008577FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beauty & Wellness Boutiq CurrentSince Sep 15, 2024 Accepting new patients

Locations

14846 Tamiami Trl
North Port, FL 34287
Phone (813) 409-6931

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1619589348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 LOG CABIN RD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342917083",
            "telephone_number": "813-409-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 N BISCAYNE DR",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342917081",
            "telephone_number": "813-409-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "LISA",
        "middle_name": "JOY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2025-06-04",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11008577",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.