Individual provider Active NPI

Alisa Marie Lopez, CNP

  • Family Nurse Practitioner
  • Sylvania, OH
National Provider Identifier
1013360148
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019387 Issued in OH
Practice address
5320 Harroun Rd
Sylvania, OH 43560
Phone
(419) 824-7419
Fax
(567) 585-9461
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.382352 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.019387 OH Primary

Addresses

Primary practice location

5320 Harroun Rd
Sylvania, OH 43560

Mailing address

5855 Monroe St
Sylvania, OH 43560-2269
Phone (419) 824-7419

Other practice location 1

700 Stewart Rd
Monroe, MI 48162-5304
Phone (419) 824-7419

Other practice location 2

700 Lakeshire Trl
Adrian, MI 49221-1565
Phone (419) 824-7419

Other practice location 3

30000 E River Rd
Perrysburg, OH 43551-3429
Phone (419) 931-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161019002350 OH Practitioner - Nurse Practitioner 1052609310 Reassigns benefits to 3 organizations
I20191024002670 MI Practitioner - Nurse Practitioner 1052609310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice of Northwest OhioGroup PAC ID 8527150721, 17 clinicians

Practice addresses (Care Compare)

30000 E River Rd
Perrysburg, OH 43551-3429
Phone (419) 661-5110

8132 Secor Rd
Lambertville, MI 48144-8673
Phone (419) 661-4001

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.382352OHMDRegistered Nurse
APRN.CNP.019387OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kingston Care Partners, LLC CurrentSince May 6, 2024 Accepting new patients
Hospice of Northwest Ohio PastSince Jun 23, 2023 Accepting new patients

Locations

1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949

4121 King Rd
Sylvania, OH 43560
Phone (419) 517-8200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1013360148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 MONROE ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602269",
            "telephone_number": "419-824-7419",
            "fax_number": "567-585-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 HARROUN RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-824-7419",
            "fax_number": "567-585-9461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Stewart Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481625304",
            "country_code": "US",
            "telephone_number": "419-824-7419",
            "fax_number": "567-585-9461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Lakeshire Trl",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492211565",
            "country_code": "US",
            "telephone_number": "419-824-7419",
            "fax_number": "567-585-9461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30000 E River Rd",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435513429",
            "country_code": "US",
            "telephone_number": "419-931-3440",
            "fax_number": "419-661-4020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ALISA",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.382352",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.