Active NPI
Lisa Ann Walker Bigelow, RN, MSN
- Psychiatric/Mental Health Clinical Nurse Specialist
- Media, PA
National Provider Identifier
1033105077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN318709L
- Practice address
- 107 Chesley Dr
Media, PA 19063-1760 - Phone
- (610) 891-9024
- Fax
- (610) 891-9699
- NPI assigned
- Sep 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | CNS000330 | PA | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | RN318709L | PA | Primary |
Addresses
Primary practice location
107 Chesley Dr
Media, PA 19063-1760
Mailing address
107 Chesley Dr
Media, PA 19063-1760
Phone (610) 891-9024
Other practice location 1
100 Maris Grove Way
Glen Mills, PA 19342-1282
Phone (610) 387-4520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150211001437 | PA | Practitioner - Certified Clinical Nurse Specialist (CNS) | 8628393865 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNS000330 | PA | MD | Clinical Nurse Specialist |
| RN318709L | PA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1033105077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CHESLEY DR",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631760",
"telephone_number": "610-891-9024",
"fax_number": "610-891-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CHESLEY DR",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631760",
"telephone_number": "610-891-9024",
"fax_number": "610-891-9699"
}
],
"practiceLocations": [
{
"address_1": "100 Maris Grove Way",
"address_purpose": "LOCATION",
"city": "Glen Mills",
"state": "PA",
"postal_code": "193421282",
"country_code": "US",
"telephone_number": "610-387-4520",
"fax_number": "610-387-4526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER BIGELOW",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "PA",
"license": "CNS000330",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "PA",
"license": "RN318709L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.