Individual provider Active NPI

Lisbet Garrido Samon

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1770335168
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11031108 Issued in FL
Practice address
2016 Derbywood Dr
Brandon, FL 33510-2214
Phone
(786) 307-6283
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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 11031108 FL Primary

Addresses

Primary practice location

2016 Derbywood Dr
Brandon, FL 33510-2214

Mailing address

2016 Derbywood Dr
Brandon, FL 33510-2214
Phone (786) 307-6283

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119000619 FL Practitioner - Nurse Practitioner 1153856885 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031108FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Group of Tampa Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

8011 N Himes Ave
Ste 4
Tampa, FL 33614
Phone (813) 488-1414

Organizations & group practices 1

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": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1770335168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 DERBYWOOD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102214",
            "telephone_number": "786-307-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 DERBYWOOD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102214",
            "telephone_number": "786-307-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIDO SAMON",
        "first_name": "LISBET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.