Active NPI
Lissa M Jean-Pierre, MD
- General Practice Physician
- Largo, FL
National Provider Identifier
1720077019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME85417
- Practice address
- 13220 Belcher Rd S Unit 1
Largo, FL 33773-1677 - Phone
- (727) 351-4894
- Fax
- (727) 351-4897
- NPI assigned
- Oct 19, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME85417 | FL | Primary |
Addresses
Primary practice location
13220 Belcher Rd S Unit 1
Largo, FL 33773-1677
Mailing address
5400 Pinehurst Dr
Spring Hill, FL 34606-3833
Phone (352) 277-5305
Other practice location 1
13220 Belcher Rd S Unit 15
Largo, FL 33773-1678
Phone (727) 469-7920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260573200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME85417 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| Delray Family Practice Inc | General Practice | Past | Accepting new patients |
| Unity Healthcare LLC | Past | Accepting new patients | |
| Dynamic Medical Services Inc | Past | Accepting new patients | |
| Complete Local Specialty Care, Inc | Past | Accepting new patients | |
| Preventive Health Center Inc | Past | Accepting new patients | |
| Access Health Care LLC | Past | Accepting new patients | |
| Community Care Resources, Inc. | General Practice | Past | Accepting new patients |
Locations
4780 SW 64th Ave
Ste 101
Davie, FL 33314
4780 SW 64th Ave
Ste 103
Davie, FL 33314
333 NW 70th Ave
Ste 206
Plantation, FL 33317
Phone (954) 797-6333
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JICADA
- https://fhir4.healow.com/fhir/r4/HAEGBA
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Davie, FL
- NPI 1558900472
-
- Family Medicine Physician
- Hallandale Beach, FL
- NPI 1770509267
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1073141156
-
- Family Medicine Physician
- Beverly Hills, FL
- NPI 1043453020
-
- Multi-Specialty Clinic/Center
- Altamonte Springs, FL
- NPI 1821614702
General Practice
-
- Family Medicine Physician
- Coconut Creek, FL
- NPI 1538155262
-
- General Practice Physician
- Hollywood, FL
- NPI 1003007014
-
- Spinal Cord Injury Medicine Physician
- Miami, FL
- NPI 1932150554
-
- Internal Medicine Physician
- Spring Hill, FL
- NPI 1720324627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1720077019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 PINEHURST DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346063833",
"telephone_number": "352-277-5305",
"fax_number": "352-606-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13220 BELCHER RD S UNIT 1",
"city": "LARGO",
"state": "FL",
"postal_code": "337731677",
"telephone_number": "727-351-4894",
"fax_number": "727-351-4897"
}
],
"practiceLocations": [
{
"address_1": "13220 Belcher Rd S Unit 15",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337731678",
"country_code": "US",
"telephone_number": "727-469-7920",
"fax_number": "727-293-4121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEAN-PIERRE",
"first_name": "LISSA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME85417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260573200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.