LISA MOLITOR (NPI# 1447335831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447335831 |
| Entity Type | Individual |
| Full Name | LISA MOLITOR |
| Credential | ARNP |
| Practice Address |
23320 N State Road 235 Brooker FL 32622-5266 |
| Mailing Address |
12221 Sw 89th St Gainesville FL 32608-7296 |
| Practice Telephone | 3524851133 |
| Practice Fax Number | 3524852927 |
| Mailing Telephone | 3524851133 |
| Mailing Fax Number | 3524852927 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP1098452 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 301483500 | 05 | |
| FL | STATE IDENTIFICATION | ARNP1098452 | 01 |
| Street Address |
23320 N STATE ROAD 235 |
| City | BROOKER |
| State | FL |
| Zip Code | 32622-5266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417987967 | William M Witt | Dentist | 23320 N State Road 235, Brooker, FL 32622-5266 | 2006-07-03 |
| 1033439823 | Paayal Bhakta | Dentist | 23320 N State Road 235, Brooker, FL 32622-5266 | 2010-06-03 |
| 1992944599 | Edward L. Herod | Dentist | 23320 N State Road 235, Brooker, FL 32622-5266 | 2009-02-05 |
| 1275651093 | Robert Thoburn | Internal Medicine | 23320 N State Road 235, Brooker, FL 32622-5266 | 2007-03-27 |
| 1487772216 | Alachua County Organization for Rural Needs, Inc. | General Practice | 23320 N State Road 235, Brooker, FL 32622-5266 | 2007-03-27 |
| 1386705762 | Sally Martin | Pediatrics | 23320 N State Road 235, Brooker, FL 32622-5266 | 2006-12-12 |
| 1356426654 | Dale Ryon | Internal Medicine | 23320 N State Road 235, Brooker, FL 32622-5266 | 2006-10-26 |
| 1760567077 | Susan Bliss | Nurse Practitioner | 23320 N State Road 235, Brooker, FL 32622-5266 | 2006-10-26 |
| 1477635514 | Karolyn Godbey | Nurse Practitioner | 23320 N State Road 235, Brooker, FL 32622-5266 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863844 | Lacey Ashton Coleman | Nurse Practitioner | 11477 Sw Sr 231, Brooker, FL 32622 | 2020-02-21 |
| 1609850072 | Abigail Elizabeth Palmer | Physician Assistant | 23320 North State Road 235, Acorn Clinic, Brooker, FL 32622 | 2005-11-30 |
| 1255643565 | Lawrence Walter Dupee | Mechanotherapist | 16526 Sw 137th Ave, Brooker, FL 32622-2357 | 2010-07-02 |
| 1326387473 | Marc T Frazer | Occupational Therapist | 14627 Sw 155th Ave, Brooker, FL 32622-2864 | 2013-02-10 |
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760567077 | Susan Bliss | Nurse Practitioner | 23320 N State Road 235, Brooker, FL 32622-5266 | 2006-10-26 |
| 1477635514 | Karolyn Godbey | Nurse Practitioner | 23320 N State Road 235, Brooker, FL 32622-5266 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770340 | Ashley Mae Fleck | Nurse Practitioner | 3428 Sepia St, West Melbourne, FL 32904-7588 | 2020-11-08 |
| 1356942031 | Jorge Luis Ulloa Capestany | Nurse Practitioner | 6865 W 7th Ave Apt 408, Hialeah, FL 33014-4877 | 2020-11-08 |
| 1316548126 | Mitza Lacroix | Nurse Practitioner | 2670 Sw 83rd Ave, Miramar, FL 33025-7413 | 2020-11-06 |
| 1295336337 | Eduardo Wilfredo Loredo | Nurse Practitioner | 2930 Nw 156th St, Opa Locka, FL 33054-2226 | 2020-11-05 |
| 1962003004 | Yudaisy Salgueiro | Nurse Practitioner | 307 Nw 72nd Ave Apt 319, Miami, FL 33126-4304 | 2020-11-05 |
| 1992306146 | Nicole Lyn Burks | Nurse Practitioner | 11916 W Sample Rd, Coral Springs, FL 33065-4200 | 2020-11-04 |
| 1790386811 | Louise Lorraine Voltaire | Nurse Practitioner | 7728 Nw Greenspring St, Port St Lucie, FL 34987-3052 | 2020-11-04 |
| 1750982294 | Hyun-ae Kuh | Nurse Practitioner | 1628 Slash Pine Pl, Oviedo, FL 32765-6270 | 2020-11-02 |
| 1033719687 | Biviana Maria Arroyave | Nurse Practitioner | 2293 Ne 122nd St, North Miami, FL 33181-2910 | 2020-10-30 |
| 1831799790 | Jennmobilemed, Inc. | Nurse Practitioner | 631 Sw 17th Ct, Boca Raton, FL 33486-6413 | 2020-10-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.