Lisa McMillan

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

9218748 Issued in FL

Practice address

1661 Redfin Dr
Poinciana, FL 34759-4709

Phone

(407) 873-3662

Fax

(863) 496-7260

NPI assigned

Dec 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Caring Hands Residence, LLC

  • Assisted Living Facility
  • Poinciana, FL
  • NPI 1902274897
  NPD (past) Authorized official

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1871990978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 REDFIN DR",
            "city": "POINCIANA",
            "state": "FL",
            "postal_code": "347594709",
            "telephone_number": "407-873-3662",
            "fax_number": "863-496-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 REDFIN DR",
            "city": "POINCIANA",
            "state": "FL",
            "postal_code": "347594709",
            "telephone_number": "407-873-3662",
            "fax_number": "863-496-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "9218748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY",
            "identifier": "12559",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas L Kontax Jr., PHARMD
• Andrew Lalli, MS, ATC, LAT, CES
• Karyleen Mangual, BBA
• Ivelisse Martinez-Matos, RN
• Shannon Massey-Curtis, BS, MS, HS-BCP
• Shelby Medley, RRT, RCP
• Vincent F Mendieta
• Michelle Esty
• Susan Lynn Morse, APRN
• Alvin Nalupara, RRT, RCP

• Administrator Registered Nurse in Poinciana, FL
• Providers in Poinciana, FL by specialty
• Administrator Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.