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MS. LISA MARIE POLHAMUS NNP
NPI 1114188604
Nurse Practitioner - Neonatal in St Petersburg, FL

Active since June 18, 2008
501 6TH AVE S, ST PETERSBURG, FL 33701(727) 767-4313(727) 767-4391 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Lisa Marie Polhamus Nnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA MARIE POLHAMUS NNP (NPI 1114188604) is an individual neonatal provider in St Petersburg, Florida, licensed in Florida (ARNP9481675) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1114188604
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMS. LISA MARIE POLHAMUSCredential: NNP
Location Address501 6TH AVE SSt Petersburg, FL 33701
Mailing Address501 6th Ave SSt Petersburg, FL 33701-4634 · (727) 767-4313 · Fax (727) 767-4391
Phone(727) 767-4313
Fax(727) 767-4391
Sole ProprietorYes
Enumeration DateJune 18, 2008
Last NPPES UpdateJune 20, 2018
✔ NPI 1114188604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in FL · ARNP9481675
501 6TH AVE S, St Petersburg, FL 33701
Open in Google Maps ↗

Other Identifiers 1

Medicaid024415700FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN ROGERS KENNEDY MD
Pediatrics
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4243
DR. WILLIAM EDWARD SCHAAF JR. M.D.
Radiology (Pediatric Radiology)
501 6TH AVE S, DEPARTMENT OF RADIOLOGY
SAINT PETERSBURG, FL 33701
Pinellas County (727) 767-3318
KRISTY W PATEL MD
Hospitalist
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4243
JENNIFER FOUTCH M.S.W.
Social Worker
501 6TH AVE S, DEPT.# 7470
ST PETERSBURG, FL 33701
Pinellas County (727) 767-6794
SUSAN BUFFINGTON
Nurse Practitioner (Pediatrics)
501 6TH AVE S, DEPT OF RADIOLOGY
ST PETERSBURG, FL 33701
Pinellas County (727) 767-3318
BRITTANY EASTER BOWER ARNP
Nurse Practitioner (Neonatal)
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4313
DR. DERECK DAVY PHRATHEP PH.D.
Psychologist
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4170
TARA MORDER
Nurse Practitioner (Neonatal)
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Polhamus's NPI number?

The NPI number for Lisa Polhamus is 1114188604. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Lisa Polhamus located?

Lisa Polhamus practices at 501 6th Ave S, St Petersburg, FL 33701. The listed phone number is (727) 767-4313.

What is Lisa Polhamus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Lisa Polhamus was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.