Individual provider Active NPI

Lisa Kane, R.N.

  • Registered Nurse
  • Aspen, CO
National Provider Identifier
1124611868
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0089432 Issued in CO
Practice address
109 Maple LN
Aspen, CO 81611-2174
Phone
(970) 925-8184
NPI assigned
Feb 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0089432 CO Primary

Addresses

Primary practice location

109 Maple LN
Aspen, CO 81611-2174

Mailing address

PO Box 8351
Aspen, CO 81612-8351
Phone (970) 925-8184

Other names 1

  • Lisa Kane Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL encrypted Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0089432COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1124611868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8351",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816128351",
            "telephone_number": "970-925-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MAPLE LN",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816112174",
            "telephone_number": "970-925-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "LISA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-13",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "0089432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "encrypted",
            "affiliation": "N",
            "endpointDescription": "encrypted",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "encrypted",
            "address_1": "109 Maple Ln",
            "city": "Aspen",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816112174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KANE",
            "credential": "R.N.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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.