Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Lisa Mae Shaub, FNP-C

Individual provider Family Nurse Practitioner · NPI 1952122269

MS. Lisa Mae Shaub, FNP-C is a Nurse Practitioner in Saint Petersburg, Florida. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

565 52nd Ave N
Saint Petersburg, FL 33703-2845
Phone: (727) 403-2267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11033760 (FL)

Record details

NPI number1952122269
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedOctober 19, 2024
Last updated in NPPESOctober 19, 2024
Certification dateOctober 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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