Lisa Anne Bannister

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

209.026405 Issued in IL

Practice address

2400 Glenwood Ave Ste 210
Joliet, IL 60435-5498

Phone

(630) 473-8737

NPI assigned

Jan 27, 2023

Last updated

Jan 27, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

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

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

• Vna Health Care

  • General Practice Physician
  • Aurora, IL
  • NPI 1508826983
  NPD (past)

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1033825419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N BROAD ST",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463192231",
            "telephone_number": "219-746-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GLENWOOD AVE STE 210",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355498",
            "telephone_number": "630-473-8737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "396 Remington Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604404304",
            "country_code": "US",
            "telephone_number": "630-389-1401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 N Independence Blvd",
            "address_purpose": "LOCATION",
            "city": "Romeoville",
            "state": "IL",
            "postal_code": "604461803",
            "country_code": "US",
            "telephone_number": "630-389-1698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605063814",
            "country_code": "US",
            "telephone_number": "630-389-1726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209.026405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.360286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Jane Ballard, LPC
• Medinat Omobolanle Balogun, NP
• James Balstrode, PT
• Leigh Bancsy, LCPC
• Shiquita Banks
• Cassidy Bannon, DPT
• Marco A Barajas
• Carissa M Baranoski, D.C.
• Ellen Joyce Barber
• Norma Jeanne Barnard

• Women's Health Nurse Practitioner in Joliet, IL
• Providers in Joliet, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.