LISE MICHELLE MCCANLESS (NPI# 1710185079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710185079 |
| Entity Type | Individual |
| Full Name | LISE MICHELLE MCCANLESS |
| Credential | APRN |
| Practice Address |
8831 Immokalee Rd Naples FL 34120-3914 |
| Mailing Address |
380 Tern Dr Apt 3 Naples FL 34112-3922 |
| Practice Telephone | 7574575100 |
| Practice Fax Number | 7578197762 |
| Mailing Telephone | 7574575100 |
| Mailing Fax Number | 7578197762 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2016-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0024118550 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9436627 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9876 | VI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8831 IMMOKALEE RD |
| City | NAPLES |
| State | FL |
| Zip Code | 34120-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245860469 | Ramona J Thomas | Nurse Practitioner | 8831 Immokalee Rd, Naples, FL 34120-3914 | 2020-01-16 |
| 1386147403 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 8831 Immokalee Rd, Naples, FL 34120 | 2018-03-15 |
| 1689045627 | Niki Steelman | Nurse Practitioner | 8831 Immokalee Rd, Naples, FL 34120-3914 | 2015-10-16 |
| 1891047502 | Candice Monteith | Nurse Practitioner | 8831 Immokalee Rd, Naples, FL 34120-3914 | 2012-10-04 |
| 1184992497 | Christopher Edward Hole | Pharmacist | 8831 Immokalee Rd, Naples, FL 34120-3914 | 2011-12-01 |
| 1962789446 | Arlene Esther Cowie | Nurse Practitioner | 8831 Immokalee Rd, Naples, FL 34120 | 2011-11-10 |
| 1013247873 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 8831 Immokalee Rd, Naples, FL 34120 | 2009-12-30 |
| 1629251616 | Robert J Baker IIi | Audiologist | 8831 Immokalee Rd, Naples, FL 34120 | 2007-12-12 |
| 1356534648 | Rose Weissman | Nurse Practitioner | 8831 Immokalee Rd, Naples, FL 34120-3914 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134605025 | Holiday Cvs LLC | Pharmacy | 13400 Immokalee Rd, Naples, FL 34120 | 2018-07-14 |
| 1528571510 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 8921 Immokalee Rd, Naples, FL 34120 | 2017-11-13 |
| 1902315328 | Esther Pinter | Nurse Practitioner | 7709 Bristol Circle, Naples, FL 34120 | 2017-09-28 |
| 1265950166 | Aniledif Ayala Burger | Technician, Other | 2243 Grove Dr, Naples, FL 34120 | 2017-08-31 |
| 1831645431 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 13550 Immokalee Rd, Naples, FL 34120 | 2016-09-01 |
| 1316250889 | Andrea Viviana Pellegrini | Psychologist | 3589 Canopy Cir, Suite 190, Naples, FL 34120 | 2010-07-26 |
| 1568488476 | Karen L Hiester | Family Medicine | 15420 Collier Blvd, Naples, FL 34120 | 2006-07-14 |
| 1427219955 | Shawn Christopher Patterson | Emergency Medicine | 15420 Collier Blvd, Naples, FL 34120 | 2008-06-18 |
| 1528255890 | Monica Menichello | Family Medicine | 15420 Collier Blvd, Naples, FL 34120 | 2007-10-01 |
| 1104025790 | Brian Menichello | Family Medicine | 15420 Collier Blvd, Naples, FL 34120 | 2007-07-13 |
| Find all providers in zip 34120 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676598 | Ludmilla Gabriel | Nurse Practitioner | 4975 Tamiami Trl E, Naples, FL 34113-4131 | 2020-10-13 |
| 1891302956 | Anthony Carmine Aceto | Nurse Practitioner | 4913 Sedgewood Ln, Naples, FL 34112-7932 | 2020-09-23 |
| 1871109462 | Agnabel Jimenez | Nurse Practitioner | 1099 Port Orange Way, Naples, FL 34120-2917 | 2020-09-18 |
| 1295341170 | Carol Vincent | Nurse Practitioner | 3890 11th Ave Sw, Naples, FL 34117-4140 | 2020-09-16 |
| 1548887508 | Warly Gonzalez Moreno | Nurse Practitioner | 6188 Parkers Hammock Rd, Naples, FL 34112 | 2020-06-25 |
| 1679109243 | Laura Rodriguez Dopico | Nurse Practitioner | 630 14th St Se, Naples, FL 34117-3695 | 2020-03-16 |
| 1912532698 | Mariana Peralta Perez | Nurse Practitioner | 5609 Marigold Way Apt 308, Naples, FL 34109-2751 | 2020-03-03 |
| 1962051805 | Diana C Perez-charton | Nurse Practitioner | 2350 Vanderbilt Beach Rd Ste 201, Naples, FL 34109-2760 | 2019-09-04 |
| 1518515345 | Jeanwilly Francois | Nurse Practitioner | 8831 Immokalee Rd Fl 34120, Naples, FL 34120-3914 | 2019-08-26 |
| 1013569417 | Moises Exposito | Nurse Practitioner | 145 Sabal Lake Dr, Naples, FL 34104-6407 | 2019-07-15 |
| Find all providers in NAPLES | ||||
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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.