NPIMap

Organization Active NPI

Lisa M. Degennaro

  • Assisted Living Facility
  • New Port Richey, FL
National Provider Identifier
1639414865
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11725 Issued in FL
Legal business name
LISA M. DEGENNARO
Practice address
4434 Northampton Dr
New Port Richey, FL 34653-6311
Phone
(727) 946-3395
NPI assigned
Nov 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Mrs. Lisa Marie Degennaro, COTA
Title
Occupational Therapist Assistant
Phone
(727) 946-3395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11725 FL Primary

Addresses

Primary practice location

4434 Northampton Dr
New Port Richey, FL 34653-6311

Mailing address

4434 Northampton Dr
New Port Richey, FL 34653-6311
Phone (727) 946-3395

National Provider Directory

National Provider Directory
Tax ID family
Metro Nashville Public Health Dept103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 10

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1639414865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 NORTHAMPTON DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536311",
            "telephone_number": "727-946-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 NORTHAMPTON DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536311",
            "telephone_number": "727-946-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. DEGENNARO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "DEGENNARO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "727-946-3395",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.