Active NPI
Lisa George
- School Psychologist
- Fort Myers, FL
National Provider Identifier
1972058238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 18050 S Tamiami TRL
Lot 140
Fort Myers, FL 33908-4658 - Phone
- (303) 898-6301
- NPI assigned
- Aug 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
18050 S Tamiami TRL
Lot 140
Fort Myers, FL 33908-4658
Mailing address
18011 S Tamiami TRL # 16-52F
Fort Myers, FL 33908-4697
Phone (303) 898-6301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1972058238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18011 S TAMIAMI TRL # 16-52F",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084697",
"telephone_number": "303-898-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18050 S TAMIAMI TRL",
"address_2": "LOT 140",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084658",
"telephone_number": "303-898-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-16",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.