Lisa Long Palestra, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH6821 Issued in FL

Practice address

4282 W Linebaugh Ave
Tampa, FL 33624-5241

Phone

(813) 930-6112

Fax

(813) 930-6332

NPI assigned

Jun 20, 2006

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

Practice roles

Locations

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.

• Long Chiropractic & Rehab Center

  • Chiropractor
  • Tampa, FL
  • NPI 1316284441
  NPD

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1972548014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4282 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245241",
            "telephone_number": "813-930-6112",
            "fax_number": "813-930-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4282 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245241",
            "telephone_number": "813-930-6112",
            "fax_number": "813-930-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALESTRA",
        "first_name": "LISA",
        "middle_name": "LONG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381816100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaveli Palau Morales, MD
• Jeana Palazzola, ARNP
• Brad Palermo, PSY.D., LICENSED PSY
• Laura Palermo, LCSW
• Pam Palermo, CRNA
• Stefanie Kamilla Palfi, MD
• Barbara Ann Palinchik, CNP
• Mara Angelie Pallens, M.D.
• Marisa Palles
• Hilianys Palli Bonet

• Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.