Lesa Romona Sealy

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906321 Issued in FL

Practice address

15 Madre de Dios St
Punta Gorda, FL 33983-4254

Phone

(941) 629-4934

Fax

(941) 629-4934

NPI assigned

May 9, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Lesa Romona Noriega Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1669817201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MADRE DE DIOS ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339834254",
            "telephone_number": "941-629-4934",
            "fax_number": "941-629-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MADRE DE DIOS ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339834254",
            "telephone_number": "941-629-4934",
            "fax_number": "941-629-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALY",
        "first_name": "LESA",
        "middle_name": "ROMONA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001064300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESA",
            "last_name": "NORIEGA",
            "middle_name": "ROMONA",
            "prefix": "MISS",
            "credential": "ADULT CARE PROVIDER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Victoria Scanlon, LMHC
• Jennifer Marie Schaeffer, ARNP
• Judith Ann Schaetzer, APRN
• Schinderle Eugenides OD PA
• Renee Schroeder, NP
• Rolph Sebastien
• Carla Yolanda Segarra-Rivera
• Susana T Segura, M.D.
• Senior Friendship Centers
• Serenity Internal Medicine

• Adult Care Home Facility in Punta Gorda, FL
• Providers in Punta Gorda, 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 May 9, 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.