Lisa Mueller, RN BSN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

RN090640 Issued in AZ

Practice address

USA Meddac, Rwbahc
2240 Winrow Ave
Fort Huachuca, AZ 85650-7079

Phone

(520) 533-9162

Fax

(520) 533-5328

NPI assigned

Feb 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1083073746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA MEDDAC, RWBAHC",
            "address_2": "2240 WINROW AVE",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856137079",
            "telephone_number": "520-533-9162",
            "fax_number": "520-533-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA MEDDAC, RWBAHC",
            "address_2": "2240 WINROW AVE",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856507079",
            "telephone_number": "520-533-9162",
            "fax_number": "520-533-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "LISA",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "AZ",
            "license": "RN090640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "RN090640",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Andrew Mitchell, PA-C
• Kristina Moffett, RN
• Maricarmen Montano Ortiz
• Bryan Morris, PSYD
• Sherif Anwar Mostafa, DPT
• National Vision, Inc.
• John W Newton, D.D.S.
• Van Nhan Nguyen, RN, FNP-BC
• Michael Patrick Nolan, PHARM.D
• Tyler H Norton, PT, DPT

• Ambulatory Care Registered Nurse in Fort Huachuca, AZ
• Providers in Fort Huachuca, AZ by specialty
• Ambulatory Care Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.