Lise Michelle McCanless, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9436627 Issued in FL

Practice address

8831 Immokalee Rd
Naples, FL 34120-3914

Phone

(757) 457-5100

Fax

(757) 819-7762

NPI assigned

Jul 10, 2007

Last updated

Jul 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VI, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Episource LLC

  • Nurse Practitioner
  • Gardena, CA
  • NPI 1225390289

  FL

  Medicare reassignment NPD
• Lesser Antilles Nephrology

  • Medical Specialty Clinic/Center
  • Christiansted, VI
  • NPI 1538475017
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1710185079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 TERN DR APT 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341123922",
            "telephone_number": "757-457-5100",
            "fax_number": "757-819-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 IMMOKALEE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341203914",
            "telephone_number": "757-457-5100",
            "fax_number": "757-819-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANLESS",
        "first_name": "LISE",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024118550",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VI",
            "license": "9876",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9436627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Elise Mazzella, MD
• Ida M Mazzone, MD
• Mca Naples Operating Company, LLC (Windsor Place)
• John Warren McBroom, MD
• Lauren E McCabe, D.C.
• Lorraine Diane McCann, LMHC
• Susan M McCarthy, APRN
• Mary Ann McCarty, R.N.
• Christopher McCash, D.M.D
• Virgil Mark McClintic Jr., O.D.

• Family Nurse Practitioner in Naples, FL
• Providers in Naples, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.