Active NPI
Lisa Ann Ostrander, AGNP-C
- Gerontology Nurse Practitioner
- Taylorsville, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 7010732-3102
- Practice address
- 1385 W 2200 S
Taylorsville, UT 84119-7205 - Phone
- (801) 944-0095
- NPI assigned
- Dec 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 7010732-3102 | UT | Primary |
Addresses
Primary practice location
1385 W 2200 S
Taylorsville, UT 84119-7205
Mailing address
1385 W 2200 S
Taylorsville, UT 84119-7205
Phone (801) 944-0095
Other practice location 1
1208 E 3300 S
Slc, UT 84106-2522
Phone (801) 483-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
South Salt Lake, UT 84115
Phone (801) 922-4790
755 E 11TH Ave
Salt Lake City, UT 84103-3641
Phone (385) 242-6729
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diabetes RN LLC | Current | Accepting new patients | |
| Bluebird Medical | Current | Accepting new patients | |
| Generations Medical Group LLC | Current | Accepting new patients | |
| Taylor G Wright PC | Past | Accepting new patients | |
| Finding Home Healthcare, Inc. | Past | Accepting new patients |
Locations
612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403
2333 W North Temple
Slc, UT 84116
Phone (801) 539-8852
Organizations & group practices 6
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.
-
- Gerontology Nurse Practitioner
- South Salt Lake, UT
- NPI 1619834132
-
- Diabetes Educator Registered Nurse
- Salt Lake City, UT
- NPI 1952092991
-
- Family Nurse Practitioner
- Bluffdale, UT
- NPI 1720559958
-
- Gerontology Registered Nurse
- Taylorsville, UT
- NPI 1538755863
-
- Podiatrist
- Layton, UT
- NPI 1528765575
-
- Multi-Specialty Clinic/Center
- Eagle, ID
- NPI 1609327022
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Murray, UT
- NPI 1164901484
-
- Home Health Agency
- Provo, UT
- NPI 1679879837
-
- Home Health Agency
- South Salt Lake, UT
- NPI 1851303390
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1104398361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1385 W 2200 S",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841197205",
"telephone_number": "801-944-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1385 W 2200 S",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841197205",
"telephone_number": "801-944-0095"
}
],
"practiceLocations": [
{
"address_1": "1208 E 3300 S",
"address_purpose": "LOCATION",
"city": "Slc",
"state": "UT",
"postal_code": "841062522",
"country_code": "US",
"telephone_number": "801-483-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSTRANDER",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-27",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "UT",
"license": "7010732-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.