Active NPI
Lisa Dewitt, APRN
- Adult Health Nurse Practitioner
- Tampa, FL
National Provider Identifier
1821300062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN189269 NP
- Practice address
- 12425 Race Track Rd
Suite Number 100
Tampa, FL 33626-3102 - Phone
- (800) 659-1522
- Fax
- (800) 776-7713
- NPI assigned
- Jul 3, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN189269 NP | GA | Primary |
Addresses
Primary practice location
12425 Race Track Rd
Suite Number 100
Tampa, FL 33626-3102
Mailing address
12425 Race Track Rd
Suite Number 100
Tampa, FL 33626-3102
Phone (800) 659-1522
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN189269 NP | GA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278115200000",
"number": "1821300062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12425 RACE TRACK RD",
"address_2": "SUITE NUMBER 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336263102",
"telephone_number": "800-659-1522",
"fax_number": "800-776-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12425 RACE TRACK RD",
"address_2": "SUITE NUMBER 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336263102",
"telephone_number": "800-659-1522",
"fax_number": "800-776-7713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWITT",
"first_name": "LISA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-03",
"last_updated": "2010-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN189269 NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.