Active NPI
Lisa Christine Romano, A.P.N.,C.
- Pediatric Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1720267859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN11004985
- Practice address
- 4751 S Cleveland Ave
Fort Myers, FL 33907-1317 - Phone
- (239) 343-9888
- Fax
- (239) 343-9868
- NPI assigned
- Oct 25, 2007
- Last updated
- Apr 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 26NN09047900 | NJ | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN11004985 | FL | Primary |
Addresses
Primary practice location
4751 S Cleveland Ave
Fort Myers, FL 33907-1317
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9888
Other practice location 1
261 James St
Suite 1G
Morristown, NJ 07960-6392
Phone (973) 540-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111976400 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN09047900 | NJ | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1720267859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-9888",
"fax_number": "239-343-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4751 S CLEVELAND AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071317",
"telephone_number": "239-343-9888",
"fax_number": "239-343-9868"
}
],
"practiceLocations": [
{
"address_1": "261 James St",
"address_2": "Suite 1G",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079606392",
"country_code": "US",
"telephone_number": "973-540-3939",
"fax_number": "973-540-1937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMANO",
"first_name": "LISA",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "A.P.N.,C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NN09047900",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11004985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111976400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.