Individual provider Active NPI

Lisa A Easton-Hummel, ARNP

  • Women's Health Nurse Practitioner
  • Edmonds, WA
National Provider Identifier
1154307163
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP30003284 Issued in WA
Practice address
555 Dayton St Ste A3
Edmonds, WA 98020-3647
Phone
(425) 670-3710
Fax
(425) 670-3711
NPI assigned
Dec 21, 2005
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP30003284 WA Primary

Addresses

Primary practice location

555 Dayton St Ste A3
Edmonds, WA 98020-3647

Mailing address

555 Dayton St Ste A3
Edmonds, WA 98020-3647
Phone (425) 670-3710

Other identifiers 1

IdentifierTypeStateIssuer
9615618MedicaidWA

Other names 1

  • Lisa A Hummel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100824000861 WA Practitioner - Nurse Practitioner 9830213107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

555 Dayton St
Suite A3
Edmonds, WA 98020-3647
Phone (425) 670-3710

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP30003284WAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Women's Care, P.S. PastSince Jan 1, 2000 Accepting new patients
Swedish Health Services Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1154307163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 DAYTON ST STE A3",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203647",
            "telephone_number": "425-670-3710",
            "fax_number": "425-670-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 DAYTON ST STE A3",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203647",
            "telephone_number": "425-670-3710",
            "fax_number": "425-670-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTON-HUMMEL",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30003284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9615618",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HUMMEL",
            "middle_name": "A",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.