Individual provider Active NPI

Lisa E O'Neill, APRN

  • Adult Health Nurse Practitioner
  • Santa Rosa Beach, FL
National Provider Identifier
1710579883
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11022634 Issued in FL
Practice address
327 S County Highway 393 Unit 202
Santa Rosa Beach, FL 32459-8209
Phone
(850) 990-0636
Fax
(850) 220-7569
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11022634 FL Primary
Gerontology Nurse Practitioner 363LG0600X 11022634 FL
Registered Nurse 163W00000X 9452683 FL

Addresses

Primary practice location

327 S County Highway 393 Unit 202
Santa Rosa Beach, FL 32459-8209

Mailing address

555 Cornelia St
Freeport, FL 32439-7643
Phone (850) 625-0186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IA, TX, OH4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20231102002120 FL Practitioner - Nurse Practitioner 4082060652 Reassigns benefits to 2 organizations
I20250519000930 IA Practitioner - Nurse Practitioner 4082060652 Reassigns benefits to 1 organization
I20250530002090 TX Practitioner - Nurse Practitioner 4082060652 Reassigns benefits to 1 organization
I20250618000225 OH Practitioner - Nurse Practitioner 4082060652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kible Health PAGroup PAC ID 0941722474, 21 clinicians

Practice addresses (Care Compare)

West Des Moines, IA 50266
Phone (646) 396-0527

Abilene, TX 79606
Phone (646) 396-0527

555 Cornelia St
Freeport, FL 32439-7643
Phone (646) 904-4027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9452683FLMDRegistered Nurse
11022634FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa O'Neill, LLC Current Accepting new patients
Kible Health, P.a. CurrentSince Mar 27, 2025 Accepting new patients
Southern Psychiatry LLC CurrentSince Oct 30, 2023 Accepting new patients

Locations

390 NE 191st St
Ste 8885
Miami, FL 33179
Phone (646) 296-0527

3906 US Highway 98 W
#1522
Santa Rsa Bch, FL 32459

1501 42nd St
West Des Moines, IA 50266
Phone (515) 333-9734

1501 42nd St
Ste 440
West Des Moines, IA 50266
Phone (515) 305-8560

4285 Morse Rd
Gahanna, OH 43230
Phone (614) 580-3923

2395 Lancaster Pike
Shillington, PA 19607
Phone (610) 375-7454

Interoperability endpoints

  • Direct secure messaging: lisa.o.neill.1@14883.direct.athenahealth.com

Organizations & group practices 3

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1710579883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CORNELIA ST",
            "city": "FREEPORT",
            "state": "FL",
            "postal_code": "324397643",
            "telephone_number": "850-625-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 S COUNTY HIGHWAY 393 UNIT 202",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598209",
            "telephone_number": "850-990-0636",
            "fax_number": "850-220-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "LISA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11022634",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11022634",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9452683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.