Active NPI
Emily Lieser, CPNP-PC
- Primary Care Nurse Practitioner
- Pace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN9325675
- Practice address
- 5565 Woodbine Rd
Pace, FL 32571 - Phone
- (850) 994-5010
- NPI assigned
- May 8, 2015
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN9325675 | FL | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | ARNP 9325675 | FL |
Addresses
Primary practice location
5565 Woodbine Rd
Pace, FL 32571
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 475-4686
Other practice location 1
3074 Killarney Dr
Pace, FL 32571-8430
Phone (864) 704-2964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014991300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9325675 | FL | MD | Pediatric Nurse Practitioner |
| APRN9325675 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Cep America, LLC | Current | Accepting new patients | |
| Children's Urgent Care, LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients |
Locations
500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273
117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
Interoperability endpoints
- emily.lieser.1@9582.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Urgent Care Clinic/Center
- Birmingham, AL
- NPI 1124541438
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
dba Ascension Medical Group Sacred Heart
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1831577956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-475-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5565 WOODBINE RD",
"city": "PACE",
"state": "FL",
"postal_code": "32571",
"telephone_number": "850-994-5010"
}
],
"practiceLocations": [
{
"address_1": "3074 Killarney Dr",
"address_purpose": "LOCATION",
"city": "Pace",
"state": "FL",
"postal_code": "325718430",
"country_code": "US",
"telephone_number": "864-704-2964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIESER",
"first_name": "EMILY",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-08",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN9325675",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP 9325675",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014991300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.