Active NPI
Lisa Juarez, CRNP
- Nurse Practitioner
- Abington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP015150
- Practice address
- 1200 Old York Road
Dixon Building Ste 201
Abington, PA 19001 - Phone
- (215) 481-6839
- Fax
- (215) 481-3515
- NPI assigned
- Nov 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP015150 | PA | Primary |
Addresses
Primary practice location
1200 Old York Road
Dixon Building Ste 201
Abington, PA 19001
Mailing address
1200 Old York Road
Dixon Building Ste 201
Abington, PA 19001
Phone (215) 481-6839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-6839
Hospital & facility affiliations
- Jefferson Abington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP015150 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abington Memorial Hospital | Current | Accepting new patients | |
| Abington Memorial Hospital | Current | Accepting new patients | |
| Womencare OB GYN, P.C. | Past | Accepting new patients |
Locations
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
1200 Old York Rd
Ste 201
Abington, PA 19001
Phone (215) 481-6839
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Abington, PA
- NPI 1144421306
-
- Maternal & Fetal Medicine Physician
- Abington, PA
- NPI 1649033069
-
- Specialist
- Willow Grove, PA
- NPI 1881631166
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1013381292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 OLD YORK ROAD",
"address_2": "DIXON BUILDING STE 201",
"city": "ABINGTON",
"state": "PA",
"postal_code": "19001",
"telephone_number": "215-481-6839",
"fax_number": "215-481-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OLD YORK ROAD",
"address_2": "DIXON BUILDING STE 201",
"city": "ABINGTON",
"state": "PA",
"postal_code": "19001",
"telephone_number": "215-481-6839",
"fax_number": "215-481-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "LISA",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-25",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP015150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.