Individual provider Active NPI

Maria Lisa Byrd, ARNP

  • Adult Health Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1922359207
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9218535 Issued in FL
Practice address
1950 Laurel Manor Dr Ste 172
The Villages, FL 32162-5612
Phone
(352) 391-5900
NPI assigned
Sep 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9218535 FL Primary

Addresses

Primary practice location

1950 Laurel Manor Dr Ste 172
The Villages, FL 32162-5612

Mailing address

2829 David Stewart LN
Lady Lake, FL 32159-3904
Phone (352) 874-3219

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121130000483 FL Practitioner - Nurse Practitioner 7810144920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9218535FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hilbert Zeballos PA CurrentSince Dec 1, 2013 Accepting new patients
N Yelamanchi MD PA CurrentSince Jan 15, 2008 Accepting new patients
Citrus Cardiology Consultants, PLLC CurrentSince Aug 5, 2019 Accepting new patients
Citrus Cardiology Consultants, PLLC CurrentSince Aug 5, 2019 Accepting new patients

Locations

308 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-8353

801 E Dixie Ave
Ste 107
Leesburg, FL 34748
Phone (352) 315-0627

1038 W North Blvd
Ste 102
Leesburg, FL 34748
Phone (352) 315-1627

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1501 N US Highway 441
Ste 1002
The Villages, FL 32159
Phone (352) 259-4460

910 Old Camp Rd
Ste 210
The Villages, FL 32162
Phone (352) 530-2256

1950 Laurel Manor Dr
Ste 172
The Villages, FL 32162
Phone (352) 391-5900

11834 County Road 101
Ste 203
The Villages, FL 32162
Phone (352) 391-5900

5575 E State Road 44
Wildwood, FL 34785
Phone (352) 571-4418

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGIAD
  • Direct secure messaging: mbyrd562427@direct.shands.ufl.edu

Organizations & group practices 4

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": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1922359207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 DAVID STEWART LN",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593904",
            "telephone_number": "352-874-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR STE 172",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625612",
            "telephone_number": "352-391-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "MARIA",
        "middle_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9218535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.