Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Marie Smith-Hannon, APRN-C

Individual provider Gerontology Nurse Practitioner · NPI 1700421450

Lisa Marie Smith-Hannon, APRN-C is a Nurse Practitioner in Coconut Creek, Florida. Qualified in 2019, 7 years ago. Practices with RD Medical Professional Services PC, a 25-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

5493 Wiles Rd Ste 106
Coconut Creek, FL 33073-4219
Phone: (321) 214-4530
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5325 Lena Rd Ste 101, Bradenton, FL 34211-9442 — (941) 301-8485
  • 4353 Heyward St, North Port, FL 34291-4561 — (941) 416-0972

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN11005075 (FL)

Record details

NPI number1700421450
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-C
Sole proprietorYes
NPI enumeratedNovember 16, 2019
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Rd Medical Professional Services Pc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at RD Medical Professional Services PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 25 clinicians in the practice; 9 are shown here.

Other providers in Coconut Creek