Lisa Annette Skirving, CBHCMS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

10160 NW 6TH St
Pembroke Pines, FL 33026-3983

Phone

(786) 350-0576

NPI assigned

Apr 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Longevity and Wellbeing LLC

  • Case Management Agency
  • Pembroke Pines, FL
  • NPI 1114591237
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1790129047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10160 NW 6TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263983",
            "telephone_number": "786-350-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 NW 6TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263983",
            "telephone_number": "786-350-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIRVING",
        "first_name": "LISA",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "CBHCMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS100635",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107978600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sista Empowher
• Saravana E Sivashanker, MD
• Sji Medical, P.a.
• Skin Cancer Treatment Center
• Brittany Christianna Skinner, APRN
• Diane M Sklarov, ARNP
• SL Therapy, Inc.
• Sleep Florida LLC
• Sleep Metrics, Inc
• Sleep With a Smile, Inc.

• Case Manager/Care Coordinator in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.