Individual provider Active NPI

Lisa M Nikel, ARNP

  • Nurse Practitioner
  • Hudson, FL
National Provider Identifier
1841216769
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2879552 Issued in FL
Practice address
7547 Jacque Rd
Hudson, FL 34667-7163
Phone
(727) 862-8561
Fax
(727) 861-1951
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2879552 FL Primary

Addresses

Primary practice location

7547 Jacque Rd
Hudson, FL 34667-7163

Mailing address

7547 Jacque Rd
Hudson, FL 34667-7163
Phone (727) 862-8561

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2879552FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors at Home LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841216769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7547 JACQUE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677163",
            "telephone_number": "727-862-8561",
            "fax_number": "727-861-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7547 JACQUE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677163",
            "telephone_number": "727-862-8561",
            "fax_number": "727-861-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKEL",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2879552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.