Individual provider Active NPI

Lisa Marie Genovese, ARNP

  • Family Nurse Practitioner
  • Pinellas Park, FL
National Provider Identifier
1730456369
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9233666 Issued in FL
Practice address
7800 66TH St N Ste 202
Pinellas Park, FL 33781-2101
Phone
(727) 477-2988
Fax
(727) 516-4788
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9233666 FL Primary

Addresses

Primary practice location

7800 66TH St N Ste 202
Pinellas Park, FL 33781-2101

Mailing address

7800 66TH St N Ste 202
Pinellas Park, FL 33781-2101
Phone (727) 477-2988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200512000547 NC Practitioner - Nurse Practitioner 0244555001 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

2503 Forest Hills Rd W
Suite B
Wilson, NC 27893-3392
Phone (252) 991-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9233666FLMDFamily Nurse Practitioner
320700NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Jan 15, 2023 Accepting new patients
Generations Family Practice, PA CurrentSince Mar 1, 2021 Accepting new patients
Generations Family Practice, PA CurrentSince Mar 1, 2021 Accepting new patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Jan 15, 2023 Accepting new patients
Generations Family Practice, PA Current Accepting new patients
Fastmed P.C. CurrentSince May 5, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince Feb 6, 2024 Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1021 Darrington Dr
Ste 101
Cary, NC 27513
Phone (919) 852-3339

7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900

212 N Spence Ave
Goldsboro, NC 27534
Phone (919) 778-0851

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

130 James Ave
Locust, NC 28097
Phone (704) 271-3777

804 English Rd
Ste 100
Rocky Mount, NC 27804
Phone (252) 443-3133

3724 Raleigh Road Pkwy W
Wilson, NC 27896
Phone (252) 246-8840

2503 Forest Hills Rd W
Ste B
Wilson, NC 27893
Phone (252) 991-0555

Organizations & group practices 8

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": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730456369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 66TH ST N STE 202",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812101",
            "telephone_number": "727-477-2988",
            "fax_number": "727-516-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 66TH ST N STE 202",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812101",
            "telephone_number": "727-477-2988",
            "fax_number": "727-516-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOVESE",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9233666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.