Lisa Louise Spence, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

87875 Issued in OK

Practice address

1208 W 15TH St
Edmond, OK 73013-3001

Phone

(405) 340-2100

Fax

(405) 340-1184

NPI assigned

Aug 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulmonology IncGroup PAC ID 6901939826, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Pulmonology Inc

  • Specialist
  • Oklahoma City, OK
  • NPI 1558387787
  Medicare reassignment Care Compare group NPD
• Aquilo Health Company P C Dba Canadian Valley Family Care

  • Family Medicine Physician
  • Yukon, OK
  • NPI 1891869822
  Medicare reassignment NPD
• Medical Resource Management, LLC

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1104056365
  Medicare reassignment NPD
• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment NPD
• Tulsa Emergency Medical Center Inc

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1063479087
  Medicare reassignment NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1023599768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133001",
            "telephone_number": "405-340-2100",
            "fax_number": "405-340-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133001",
            "telephone_number": "405-340-2100",
            "fax_number": "405-340-1184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1491 HEALTH CENTER PKWY",
            "address_purpose": "LOCATION",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996492",
            "country_code": "US",
            "telephone_number": "405-806-2200",
            "fax_number": "405-577-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2508 Horse Trail Rd",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730124560",
            "country_code": "US",
            "telephone_number": "405-834-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "LISA",
        "middle_name": "LOUISE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "87875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech and Language Pathology Services, PLLC
• Speech Therapy Professionals
• Speechworks Inc
• David Speegle, MD
• Alyssa Lorren Speights
• Colby L Spencer, DN
• Stephen Mark Spielman, M.D.
• Karla J Spilman
• Spine Care of Oklahoma, LLC
• Spinepainbegone PA

• Family Nurse Practitioner in Edmond, OK
• Providers in Edmond, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.

Verify at the official NPI Registry.