Active NPI
Lisa Reidy, PH.D
- Medical Toxicology (Preventive Medicine) Physician
- Miami, FL
National Provider Identifier
1649976986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Toxicology (Preventive Medicine) Physician
- License
- DI44571
- Practice address
- 1600 NW 10TH Ave RM 7084
Miami, FL 33136-1015 - Phone
- (305) 243-1337
- NPI assigned
- Feb 7, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Toxicology (Preventive Medicine) Physician | 2083T0002X | DI44571 | FL | Primary |
Addresses
Primary practice location
1600 NW 10TH Ave RM 7084
Miami, FL 33136-1015
Mailing address
2479 SW 23Rd Ter
Miami, FL 33145-3609
Phone (305) 979-8652
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI44571 | FL | MD | Medical Toxicology (Preventive Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1649976986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2479 SW 23RD TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331453609",
"telephone_number": "305-979-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 NW 10TH AVE RM 7084",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361015",
"telephone_number": "305-243-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIDY",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2083T0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Medical Toxicology",
"state": "FL",
"license": "DI44571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.