Active NPI
Lisa Natalie Rector, ARNP
- Pediatric Nurse Practitioner
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN11016251
- Practice address
- 379 N Congress Ave
Boynton Beach, FL 33426-3415 - Phone
- (561) 336-0191
- NPI assigned
- Mar 15, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R67192 | OK | |
| Primary Care Nurse Practitioner | 363LP2300X | AP137962 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN11016251 | FL | Primary |
Addresses
Primary practice location
379 N Congress Ave
Boynton Beach, FL 33426-3415
Mailing address
900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (561) 336-0191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112803100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11016251 | FL | MD | Pediatric Nurse Practitioner |
| R67192 | OK | MD | Pediatric Nurse Practitioner |
| AP137962 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children's Physician Network | Current | Accepting new patients | |
| Cook Children's Physician Network | Current | Accepting new patients | |
| Cook Children's Physician Network | Current | Accepting new patients | |
| Saltzman, Tanis, Pittell, Levin and Jacobson | Past | Accepting new patients | |
| Saltzman, Tanis, Pittel, Levin and Jacobson | Past | Accepting new patients |
Locations
7000 Calmont Ave
Ste 150
Fort Worth, TX 76116
Phone (682) 885-6163
901 7th Ave
Ft Worth, TX 76104
Phone (682) 885-1050
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
701 Matlock Rd
Mansfield, TX 76063
Phone (817) 453-5437
136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Fort Worth, TX
- NPI 1669442042
-
dba Pediatric Associates
- Pediatrics Physician
- Boynton Beach, FL
- NPI 1932590411
-
dba Pediatric Associates
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646524800000",
"number": "1912221375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S PINE ISLAND RD STE 800",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243923",
"telephone_number": "561-336-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 N CONGRESS AVE",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334263415",
"telephone_number": "561-336-0191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECTOR",
"first_name": "LISA",
"middle_name": "NATALIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-15",
"last_updated": "2022-03-06",
"certification_date": "2022-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OK",
"license": "R67192",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP137962",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11016251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112803100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; 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.