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MRS. LIZAMARA BEDOLLA FNP-C
NPI 1821759804
Nurse Practitioner - Family in Fort Polk, LA

Active since January 03, 2022
1585 3RD ST, FORT POLK, LA 71459(757) 232-2147 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lizamara Bedolla Fnp-c NPPES

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

MRS. LIZAMARA BEDOLLA FNP-C (NPI 1821759804) is an individual family provider in Fort Polk, Louisiana, licensed in Texas (1006429) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1821759804
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LIZAMARA BEDOLLACredential: FNP-C
Location Address1585 3RD STFort Polk, LA 71459-5102
Mailing Address590 Medical Center RoadFort Hood, TX 76544 · (254) 553-3146
Phone(757) 232-2147
Sole ProprietorNo
Enumeration DateJanuary 3, 2022
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 17, 2025
✔ NPI 1821759804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1006429
1585 3RD ST, Fort Polk, LA 71459
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Other Names 1

Former Name (1)Lizamara Blass

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.

JEFFERY ALAN WHITE D.O.
Orthopaedic Surgery
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (337) 531-3896
DR. LINDSAY EDWARDS MUNCY M.D.
Internal Medicine
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (706) 787-6945
DR. ANNIKA ELAINE ZIMMERMAN AU.D.
Audiologist
1585 3RD ST
FORT JOHNSON, LA 71459
Vernon Parish (337) 531-2629
MARCO I MIRNICS DPT
Physical Therapist
1585 3RD ST
FORT JOHNSON, LA 71459
Vernon Parish (615) 609-1424
LILLIAN ROZANSKI KEPPINGER RD
Dietitian, Registered
1585 3RD ST
FORT JOHNSON, LA 71459
Vernon Parish (318) 451-6947
KIARA GLORIA YEATMAN SCHIEN DO
Pediatrics
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (726) 780-2385
GERARD TIFFAULT MD
Emergency Medicine
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (240) 351-9565
MARK BRADLEY
Social Worker (Clinical)
1585 3RD ST, BJACH
FORT POLK, LA 71459
Vernon Parish (337) 531-3942

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 Lizamara Bedolla's NPI number?

The NPI number for Lizamara Bedolla is 1821759804. It was assigned to this individual provider in the NPPES registry on January 3, 2022. The provider is also known as Lizamara Blass.

Where is Lizamara Bedolla located?

Lizamara Bedolla practices at 1585 3rd St, Fort Polk, LA 71459. The listed phone number is (757) 232-2147.

What is Lizamara Bedolla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lizamara Bedolla was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.