Lisa D Stults, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71001805A Issued in IN

Practice address

1907 W Sycamore St
Kokomo, IN 46901-5148

Phone

(765) 456-5900

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24035/brand/1/csg/1/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.

• Aims, LLC

  • Psychiatry Physician
  • Bremen, IN
  • NPI 1376072785
  Medicare reassignment NPD
• Complexcare Medical Group Midwest H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1457144933

  IN

  Medicare reassignment NPD
• Informe Healthcare in, LLC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1992276638

  IN

  Medicare reassignment NPD
• Informe Healthcare LLC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1407343965

  Family, IN

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  IN, Nurse Practitioner

  Medicare reassignment NPD
• Psychiatry of Texas PLLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1013476027

  IN

  Medicare reassignment
• Psychplus Medical Associates, PLLC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1558118026

  IN

  Medicare reassignment
• In Post Acute Specialists, PC

  • Internal Medicine Physician
  • Saint John, IN
  • NPI 1629584396
  NPD
• Psych Pointe LLC

  • Community/Behavioral Health Agency
  • Mishawaka, IN
  • NPI 1861087355
  NPD
• Indiana Physician Services LLC

  • Emergency Medicine Physician
  • Valparaiso, IN
  • NPI 1184860512
  NPD (past)
• Indiana University Health la Porte Physicians Inc

  • Multi-Specialty Clinic/Center
  • La Porte, IN
  • NPI 1760593776
  NPD (past)
• Lincoln Counseling, PC

  • Social Worker
  • South Bend, IN
  • NPI 1083788426
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1033181599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N MERIDIAN ST # 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015148",
            "telephone_number": "765-456-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULTS",
        "first_name": "LISA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001805A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001805A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-BCBS",
            "identifier": "000000556066",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200522480",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033181599",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Frederick Strus, PH.D.
• Stanley David Strycker, M.D.
• Stuber Counseling LLC
• Nicole Lee Stuber
• Spenser Studebaker, PT
• David Biford Sturgeon, D.D.S.
• Suburban Dermatology LLC
• Abbee R Summers, PTA
• Whitney Sutherlin
• Nichole J. Suvar, COTA

• Family Nurse Practitioner in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.