Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Lisa Byrd , PhD, APRN, FNP-BC, GNP-

Nurse Practitioner โ€ข Pembroke Pines, FL

Active NPI 1407845829 Individual Practitioner Female Practitioner
Practice location in NPPES

880 Sw 145th Ave Ste 202
Pembroke Pines, FL 330276171

Call 8668490692 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

880 Sw 145th Ave Ste 202

Pembroke Pines, FL 330276171

Telephone 8668490692
Fax 8889738821
Organization at the Same NPPES Address or Phone
Devoted Medical Group Professional Corporation Facility NPI 1245838168

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 5 distinct additional practice-address records in Beachwood, OH; Chicago, IL; Honolulu, HI and 2 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare-allowed amount

About $116,447 in 2017

The total amount Medicare approved for these services in 2017. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2017.

Paid by Medicare

About $79,324 in 2017

The part of the Medicare-allowed amount that Medicare itself paid in 2017, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2017.

30-day fills

1,393 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$14,849 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $35.04 across 2 records.

By nature of payment

  • Food and Beverage: $35.04 across 2 records.

Reporting-company totals

  • Baxter Healthcare: $19.60 across 1 record.
  • Merck Sharp & Dohme LLC: $15.44 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Byrd has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Byrd as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pembroke Pines and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Pembroke Pines, FL (2024, 40 clinicians with data). Median for this group: 242. Middle half: 58 to 1,202.

Close to the middle for clinicians listed under Nurse Practitioner in Florida (2024, 3,506 clinicians with data). Median for this group: 306. Middle half: 76 to 1,100.

Part D drug cost

Close to the middle for clinicians listed under Nurse Practitioner in Pembroke Pines, FL (2024, 40 clinicians with data). Median for this group: $14,689. Middle half: $783 to $163,210.

Close to the middle for clinicians listed under Nurse Practitioner in Florida (2024, 3,506 clinicians with data). Median for this group: $18,227. Middle half: $1,370 to $130,581.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Byrd are from 2017.

100 active clinicians are listed under Nurse Practitioner with a practice address in Pembroke Pines, FL (8,853 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pembroke Pines

8% of these 100 clinicians have the CMS telehealth indicator.

33% of these 100 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2017), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $35.04.

Manufacturer Payment Nature Product Type Amount ($)
Baxter Healthcare
Food and Beverage
In-kind items and services
PREVELEAK General $19.60
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
KEYTRUDA General $15.44

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2017.

CMS Part B ยท Data Year 2017

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
704 212 $178.00 $56.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg
482 90 $12.00 $0.11
J0696 Injection, ceftriaxone sodium, per 250 mg
401 68 $29.00 $0.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
373 167 $263.00 $82.48
96372 Injection of drug or substance under skin or into muscle
314 124 $61.19 $18.72
36415 Insertion of needle into vein for collection of blood sample
310 188 $25.00 $2.90
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes
233 73 $74.98 $46.89
81003 Automated urinalysis test
129 79 $29.00 $3.02
J1030 Injection, methylprednisolone acetate, 40 mg
99 78 $33.00 $5.33
82962 Blood glucose (sugar) test performed by hand-held instrument
98 45 $31.00 $3.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
95 95 $275.00 $89.86
83036 Hemoglobin a1c level
90 56 $94.00 $13.05
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
63 24 $33.00 $2.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
49 40 $106.00 $33.63
G0008 Administration of influenza virus vaccine
41 40 $57.00 $22.62
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes
34 34 $249.12 $164.68
90686 Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage
27 27 $20.00 $17.96
J2010 Injection, lincomycin hcl, up to 300 mg
26 20 $33.00 $11.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
25 25 $405.00 $128.58
G0009 Administration of pneumococcal vaccine
19 18 $29.00 $22.62
90670 Pneumococcal vaccine, 13-valent
16 16 $401.00 $183.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $264.00 $83.80

Source: CMS Part B by Provider and Service, 2017; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 146 12,980 $4,203.88 77
Rosuvastatin Calcium Rosuvastatin Calcium 85 7,655 $6,106.56 46
Losartan Potassium Losartan Potassium 58 4,350 $1,247.65 25
Lisinopril Lisinopril 38 3,170 $480.50 28
Simvastatin Simvastatin 34 2,797 $347.16 15
Metformin Hcl Metformin Hcl 34 3,005 $270.74 19
Amlodipine Besylate Amlodipine Besylate 22 1,940 $224.37 12
Lisinopril-Hydrochlorothiazide Lisinopril/Hydrochlorothiazide 17 1,560 $362.41 โ€”
Metoprolol Succinate Metoprolol Succinate 17 1,570 $500.68 โ€”
Valsartan-Hydrochlorothiazide Valsartan/Hydrochlorothiazide 13 1,125 $926.33 โ€”
Tamsulosin Hcl Tamsulosin Hcl 12 780 $142.81 โ€”
Hydrochlorothiazide Hydrochlorothiazide 11 770 $35.68 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES FL APRN9467482

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES OH 0030800

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES AL 3-001421

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES HI APRN-4525

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES PA SP030874

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES GA GAA-NP005107

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES WA AP60485691

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES TX 1059111

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES OR 201508268NPPP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES LA AP06038

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES OK M0137542

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES TN 34910

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IL 209.024394

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES CO C-APN.0102177-C-NP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MS 652075

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
00117435 (MS)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20241025002232

Enrollment State Jurisdiction

MO

PECOS Control ID

0042398133

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

16435 N Scottsdale Rd Ste 285

Scottsdale, AZ 852541680

Phone: 8777623515

20405 State Highway 249 Ste 325

Houston, TX 770702893

Phone: 7135975114

500 Ala Moana Blvd Ste 7400

Honolulu, HI 968134902

Phone: 8668490692

1500 N Halsted St Ofc 403

Chicago, IL 606422517

Phone: 8777623515

3700 Park East Dr Ste 450

Beachwood, OH 441224318

Phone: 8777623515

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Lisa Barringer , CNP

Nurse Practitioner - Family

NPI 1104102383

Certified Nurse Practitioner

Amy Barton , APRN, FNP-C

Nurse Practitioner - Family

NPI 1063713436

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Erin Bertelson , NP-C

Nurse Practitioner - Family

NPI 1134710338

Nurse Practitioner (Certified)

Cristina Bolivar , APRN, FNP-C

Nurse Practitioner - Family

NPI 1104344456

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Delaney Brummer , PA

Physician Assistant

NPI 1013508258

Physician Assistant

Marilyn Canales , APRN, FNP-C

Nurse Practitioner - Family

NPI 1083183347

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

27 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2026

Nurse Practitioner (license number reported to NPPES: OH 0030800)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2025

Nurse Practitioner (license number reported to NPPES: AZ AP11697)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2024

Family Medicine (license number reported to NPPES: IL 209.024394)

๐Ÿ‘ค
Provider Name / Credentials Updated July 16, 2024

Recorded as LISA BYRD, PHD,APRN,FNP-BC,GNP-

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2024

Family Medicine (license number reported to NPPES: OR 201508268NPPP)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2024

Family Medicine (license number reported to NPPES: OK M0137542)

๐Ÿ‘ค
Provider Name / Credentials Updated May 14, 2024

Recorded as LISA BYRD, DNP,APRN,FNP-BC,GNP-

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2024

Nurse Practitioner (license number reported to NPPES: AL 3-001421)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2024

Family Medicine (license number reported to NPPES: AZ AP11697)

๐Ÿ“
Updated Business Mailing Address March 13, 2023

Registered at PO BOX 211699, EAGAN, MN 551213699 (Tel: 8668490692)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2023

Family Medicine (license number reported to NPPES: IL 209.024394)

๐Ÿ“
Updated Practice Location July 18, 2022

Registered at 880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 330276171 (Tel: 8668490692)

๐Ÿ“
Updated Business Mailing Address July 18, 2022

Registered at 880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 330276171 (Tel: 8668490692)

๐Ÿ“
Updated Practice Location May 06, 2022

Registered at 2801 SW 149TH AVE STE 100, MIRAMAR, FL 330274166 (Tel: 6179581611)

๐Ÿ“
Updated Business Mailing Address May 06, 2022

Registered at 2801 SW 149TH AVE STE 100, MIRAMAR, FL 330274166 (Tel: 6179581611)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2022

Family Medicine (license number reported to NPPES: AZ AP11697)

โœ…
NPI Profile Active January 15, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Updated Business Mailing Address January 15, 2018

Registered at PO BOX 9671, DAYTONA BEACH, FL 321209671 (Tel: 3866767130)

๐Ÿ“
Updated Practice Location January 15, 2018

Registered at 346 CROSSGATES BLVD, SUITE 202, BRANDON, MS 39042 (Tel: 6018242236)

๐Ÿ‘ค
Provider Name / Credentials Updated January 15, 2018

Recorded as LISA BYRD, CFNP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2018

Nurse Practitioner (license number reported to NPPES: MS R652075)

โœ…
NPI Profile Active February 04, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 04, 2016

Registered at 346 CROSSGATES BLVD, SUITE 202, BRANDON, MS 39042 (Tel: 6018242236)

๐Ÿ“
Business Mailing Address (Initial Record) February 04, 2016

Registered at 475 CHEYENNE LANE, MADISON, MS 391107644 (Tel: 6019415497)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 04, 2016

Recorded as LISA BYRD, CFNP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2016

Nurse Practitioner (license number reported to NPPES: MS R652075)

๐ŸŸข
Initial NPI Registration & Enumeration October 18, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407845829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2005
Last Update: May 05, 2026
Sole Proprietor: Yes

Other Nurse Practitioners in Pembroke Pines

All Nurse Practitioners in Pembroke Pines

Mailing Address

Po Box 211699

Eagan, MN 551213699

Phone: 8668490692

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.