Individual provider Active NPI

Lisa D. Giordano, CFNP

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1073707832
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
118896 Issued in NC
Practice address
2011 Falls Valley Dr Ste 100
Raleigh, NC 27615-3452
Phone
(919) 208-2314
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 118896 NC Primary

Addresses

Primary practice location

2011 Falls Valley Dr Ste 100
Raleigh, NC 27615-3452

Mailing address

3323 Cotton Press St
Raleigh, NC 27614-8675
Phone (919) 610-9669

Other practice location 1

13200 New Falls of Neuse Rd
Raleigh, NC 22761-1826
Phone (919) 554-6756

Other names 1

  • Lisa D. Horan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20221031002102 NC Order and Referring Only - Nurse Practitioner 5395817167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
118896NCMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lisa.giordano.1@14940.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073707832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 COTTON PRESS ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148675",
            "telephone_number": "919-610-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 FALLS VALLEY DR STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153452",
            "telephone_number": "919-208-2314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13200 New Falls of Neuse Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "227611826",
            "country_code": "US",
            "telephone_number": "919-554-6756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIORDANO",
        "first_name": "LISA",
        "middle_name": "D.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "118896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HORAN",
            "middle_name": "D.",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.