Active NPI
Lisa Upshaw Fuente
- Developmental Therapist
- Safety Harbor, FL
National Provider Identifier
1780987529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 140 12TH Ave N
Safety Harbor, FL 34695-3420 - Phone
- (631) 561-8709
- NPI assigned
- Dec 17, 2010
- Last updated
- Aug 14, 2026
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Developmental Therapist | 222Q00000X | FL | Primary |
Addresses
Primary practice location
140 12TH Ave N
Safety Harbor, FL 34695-3420
Mailing address
140 12TH Ave N
Safety Harbor, FL 34695-3420
Phone (631) 561-8709
Other practice location 1
3670 Sinclair Shores Rd
Cumming, GA 30041-5411
Phone (631) 561-8709
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1780987529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 12TH AVE N",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346953420",
"telephone_number": "631-561-8709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 12TH AVE N",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346953420",
"telephone_number": "631-561-8709"
}
],
"practiceLocations": [
{
"address_1": "3670 Sinclair Shores Rd",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300415411",
"country_code": "US",
"telephone_number": "631-561-8709",
"fax_number": "631-561-8709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUENTE",
"first_name": "LISA",
"middle_name": "UPSHAW",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-17",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.