Individual provider Active NPI

Lisa Rancic

  • Drama Therapist
  • West Palm Beach, FL
National Provider Identifier
1811680259
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Drama TherapistTaxonomy code 101200000X
License
19383 Issued in FL
Practice address
1701 Presidential Way
West Palm Beach, FL 33401-1825
Phone
(561) 389-0231
NPI assigned
May 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Drama Therapist 101200000X 19383 FL Primary

Addresses

Primary practice location

1701 Presidential Way
West Palm Beach, FL 33401-1825

Mailing address

1701 Presidential Way
West Palm Beach, FL 33401-1825
Phone (561) 389-0231

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

State licenses

LicenseStateTypeSpecialty
19383FLMDDrama Therapist

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1811680259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 PRESIDENTIAL WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011825",
            "telephone_number": "561-389-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 PRESIDENTIAL WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011825",
            "telephone_number": "561-389-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANCIC",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "",
            "desc": "Drama Therapist",
            "state": "FL",
            "license": "19383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.