Lisa Kay Huseboe, DC

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

CH6941 Issued in FL

Practice address

10650 W State Road 84 Ste 208
Davie, FL 33324-4235

Phone

(754) 778-8685

Fax

(954) 208-9854

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Focus Brain Therapy

  • Neurology Physician
  • Davie, FL
  • NPI 1649009879

  Sports Medicine

  Medicare reassignment NPD Authorized official
• Neuroplasticity Ventures LLC

  • Physical Therapy Clinic/Center
  • Davie, FL
  • NPI 1285138891
  NPD Authorized official

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1871085084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 W STATE ROAD 84 STE 208",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244235",
            "telephone_number": "754-778-8685",
            "fax_number": "954-208-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 W STATE ROAD 84 STE 208",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244235",
            "telephone_number": "754-778-8685",
            "fax_number": "954-208-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEBOE",
        "first_name": "LISA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "FL",
            "license": "CH6941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Hunt
• Ruby Hunter
• Rosemary Lynn Hurley, LMT, CST-D
• Daniela Alejandra Hurtado Meza
• Nastasshia Hurtado
• Hafsa Hussain
• Tanya Hylton
• Ian J Kowalski, DO, PA
• Alicia Ianuzelli, PHARMD
• William Ibanez

• Sports Medicine (Emergency Medicine) Physician in Davie, FL
• Providers in Davie, FL by specialty
• Sports Medicine (Emergency Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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.

Verify at the official NPI Registry.