LISA FORMAN BECKER (NPI# 1548598782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548598782 |
| Entity Type | Individual |
| Full Name | LISA FORMAN BECKER |
| Credential | ARNP |
| Practice Address |
919 Ne 13th St Fort Lauderdale FL 33304-2009 |
| Practice Telephone | 9547632030 |
| Practice Fax Number | 9547639847 |
| Mailing Telephone | 9547632030 |
| Mailing Fax Number | 9547639847 |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN9191528 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
APRN9191528 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497239198 | Lisa Becker | Social Worker | 8 Daniel Dr, Westford, MA 01886-1254 | 2018-09-18 |
| 1679074934 | Lisa Ann Becker | Counselor | 524 25th Ave N, Saint Cloud, MN 56303-3255 | 2018-02-22 |
| 1366951477 | Lisa Nicolle Becker | Nurse Practitioner | 6035 Shallowford Rd, Chattanooga, TN 37421-1688 | 2017-09-21 |
| 1699903468 | Lisa Diane Becker | Pharmacist | 101 S Moore Ave, Claremore, OK 74017-5047 | 2009-06-30 |
| 1306092168 | Lisa Marie Becker | Specialist | 2441 E State St, Lafayette, IN 47905-2216 | 2008-08-13 |
| 1740486778 | Lisa Marie Becker | Dietitian, Registered | 104 N Park St, Northwood, ND 58267-4103 | 2007-06-26 |
| 1013040062 | Lisa Marie Becker | Respiratory Therapist, Certified | 1100 Lake Hearn Dr Ne, Ste #450, Atlanta, GA 30342-1523 | 2007-03-13 |
| 1487637286 | Lisa A Becker | Obstetrics & Gynecology | 7720 S Broadway, Ste 220, Littleton, CO 80122-2632 | 2005-11-25 |
| Street Address |
919 NE 13TH ST |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33304-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811969744 | Stephanie Hall Ford | Nurse Practitioner | 919 Ne 13th St, Fort Lauderdale, FL 33304-2009 | 2006-02-04 |
| 1164037651 | Michelle Francis Maloney | Social Worker | 919 Ne 13th St, Fort Lauderdale, FL 33304-2009 | 2020-09-10 |
| 1922639137 | Michael Boas Pmhnp Pllc | Clinic/Center | 919 Ne 13th St, Fort Lauderdale, FL 33304-2012 | 2020-01-28 |
| 1497317481 | Nadine Thomas-burton | Social Worker | 919 Ne 13th St, Fort Lauderdale, FL 33304-2012 | 2019-07-01 |
| 1780243253 | Melissa Kristine Reesor Martin | Social Worker | 919 Ne 13th St, Fort Lauderdale, FL 33304-2012 | 2019-06-10 |
| 1629632591 | Curtis Wilson Gillis | Social Worker | 919 Ne 13th St, Fort Lauderdale, FL 33304-2012 | 2019-04-26 |
| 1922271444 | Marie Fairchild | Social Worker | 919 Ne 13th St, Fort Lauderdale, FL 33304-2009 | 2008-04-04 |
| 1104004480 | Archways | Community/Behavioral Health | 919 Ne 13th St, Fort Lauderdale, FL 33304-2009 | 2008-02-08 |
| 1710167218 | Casey Mark Portner | Counselor | 919 Ne 13th St, Fort Lauderdale, FL 33304-2009 | 2007-11-13 |
| 1649383928 | Sara Janette Hewitt | Counselor | 919 Ne 13th St, Fort Lauderdale, FL 33304-2009 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128379 | Nurse Practitioner On Demand LLC | Clinic/Center | 1491 N Federal Hwy, Fort Lauderdale, FL 33304 | 2020-06-11 |
| 1053977207 | Hubert Christopher Dauphin | Counselor | 1527 Ne 4 Ave, Ft Lauderdale, FL 33304 | 2019-05-14 |
| 1073176970 | Giant Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1975 E. Sunrise Blvd, Ste 503, Fort Lauderdale, FL 33304 | 2019-04-16 |
| 1790283000 | Genoa Healthcare, LLC | Pharmacy | 919 Ne 13th St Ste 244, Fort Lauderdale, FL 33304 | 2018-02-01 |
| 1063939890 | Suibel Boeras | Dentist | 3000 E Sunrise Blvd, Apt 5d, Fort Lauderdale, FL 33304 | 2017-08-23 |
| 1871023671 | Zahily Quinones Rivero | Technician, Other | 916 N Victoria Park Road, Fort Lauderdale, FL 33304 | 2017-06-14 |
| 1033652847 | A Healthier You Wellness Center, Inc. | Reflexologist | 1960 Ne 47th Street, Unit 102, Fort Lauderdale, FL 33304 | 2016-11-28 |
| 1871975995 | Sahyma Pampin | Physician Assistant | 2414 E. Sunrise Blvd., Ste. 2140a, Ft. Lauderdale, FL 33304 | 2015-06-25 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1053721027 | Felice D. Fusca | Social Worker | 1208 Ne 17 Av, Fort Lauderdale, FL 33304 | 2014-04-30 |
| Find all providers in zip 33304 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1750915005 | Fernande Joseph | Nurse Practitioner | 6051 Sw 195th Ave, Fort Lauderdale, FL 33332-3399 | 2020-02-26 |
| 1801308317 | Edgar Ivan Matamoros | Nurse Practitioner | 3800 W Broward Blvd # 100, Fort Lauderdale, FL 33312-1018 | 2017-10-25 |
| 1629266796 | S T E P H Inc | Nurse Practitioner | 609 Sw 19th St, Fort Lauderdale, FL 33315-2049 | 2007-10-14 |
| 1487154746 | Michelle Rose-marie Desarmes | Nurse Practitioner | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2018-02-13 |
| 1629583406 | Jean C Marchand | Nurse Practitioner | 330 Sw 27th Ave, Fort Lauderdale, FL 33312-2051 | 2017-12-03 |
| 1962939496 | Sherna Constant | Nurse Practitioner | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314-6726 | 2017-05-15 |
| 1386196368 | Carlton Mills | Nurse Practitioner | 1600 S Andrews Ave, West Wing 4 South, Fort Lauderdale, FL 33316-2510 | 2016-10-26 |
| 1245685031 | Nkechi Jebose-chinye | Nurse Practitioner | 330 Sw 27th Ave, Fort Lauderdale, FL 33312-2051 | 2016-04-28 |
| 1942668777 | Josie Fusco | Nurse Practitioner | 2340 Ne 53rd St, Fort Lauderdale, FL 33308-3212 | 2016-02-08 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33304 |
Please comment or provide details below to improve the information on LISA FORMAN BECKER.
| 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.