Healthcare Provider Details
I. General information
NPI: 1891362778
Provider Name (Legal Business Name): LISBETH RODRIGUEZ CHI MSN, PMHNP-BC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/08/2021
Last Update Date: 05/04/2024
Certification Date: 05/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18000 NW 68TH AVE APT 308
HIALEAH FL
33015-3947
US
IV. Provider business mailing address
18000 NW 68TH AVE APTO 308
HIALEAH FL
33015-3947
US
V. Phone/Fax
- Phone: 786-354-7584
- Fax:
- Phone: 786-354-7584
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | APRN11013570 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0807X |
| Taxonomy | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | APRN11013570 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0808X |
| Taxonomy | Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | APRN11013570 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | APRN11013570 |
| License Number State | FL |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0810X |
| Taxonomy | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | APRN11013570 |
| License Number State | FL |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0811X |
| Taxonomy | Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | APRN11013570 |
| License Number State | FL |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0812X |
| Taxonomy | Community Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | APRN11013570 |
| License Number State | FL |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0813X |
| Taxonomy | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | APRN11013570 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
