Organization Active NPI

Carlisa Family Medical and Aesthetics LLC

  • Primary Care Clinic/Center
  • Punta Gorda, FL
National Provider Identifier
1871236166
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CARLISA FAMILY MEDICAL AND AESTHETICS LLC
Practice address
660 Charlotte St Ste 7
Punta Gorda, FL 33950-4105
Phone
(941) 347-8321
NPI assigned
Apr 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Mrs. Lisa Ann Motteler, APRN FNP-CNPI 1770234437
Title
Owner
Phone
(615) 772-5480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

660 Charlotte St Ste 7
Punta Gorda, FL 33950-4105

Mailing address

2301 Mangrove Rd
Punta Gorda, FL 33982-3339
Phone (615) 772-5480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220615002277 FL Part B Supplier - Clinic/Group Practice 1052790490 Receives reassigned benefits from 1 practitioner
Practice locations: Punta Gorda, FL

National Provider Directory

National Provider Directory

Locations

660 Charlotte St
Ste 7
Punta Gorda, FL 33950
Phone (941) 347-8321

660 Charlotte St
Ste 6
Punta Gorda, FL 33950
Phone (941) 347-8321

4409 Sun N Lake Blvd
Ste F
Sebring, FL 33872
Phone (561) 596-8853

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1871236166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MANGROVE RD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339823339",
            "telephone_number": "615-772-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 CHARLOTTE ST STE 7",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504105",
            "telephone_number": "941-347-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLISA FAMILY MEDICAL AND AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "MOTTELER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-772-5480",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.