Provider Demographics
| NPI: | 1891362778 |
|---|---|
| Name: | RODRIGUEZ CHI, LISBETH (MSN, PMHNP-BC, FNP-C) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | LISBETH |
| Middle Name: | |
| Last Name: | RODRIGUEZ CHI |
| Suffix: | |
| Gender: | F |
| Credentials: | MSN, PMHNP-BC, FNP-C |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 18000 NW 68TH AVE |
| Mailing Address - Street 2: | APTO 308 |
| Mailing Address - City: | HIALEAH |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33015-3947 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 786-354-7584 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 18000 NW 68TH AVE APT 308 |
| Practice Address - Street 2: | |
| Practice Address - City: | HIALEAH |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33015-3947 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 786-354-7584 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2021-06-08 |
| Last Update Date: | 2024-05-04 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| FL | APRN11013570 | 364SP0807X, 364SP0808X, 364SP0809X, 364SP0810X, 364SP0811X, 364SP0812X, 364SP0813X, 363LP0808X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health |
| No | 364SP0807X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health, Child & Adolescent |
| No | 364SP0808X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health |
| No | 364SP0809X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health, Adult |
| No | 364SP0810X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health, Child & Family |
| No | 364SP0811X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health, Chronically Ill |
| No | 364SP0812X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health, Community |
| No | 364SP0813X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health, Geropsychiatric |
