Lise A Desjardins, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R026287 Issued in ME

Practice address

756 Commercial St
Rockport, ME 04856-4201

Phone

(207) 593-5566

NPI assigned

May 1, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11166/brand/1/csg/1/fhir/r4
• Direct secure messaging: ldesjardins101112@direct.mmc.mainehealth.org

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.

• Mainehealth

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  NPD
• Mainehealth

  • Gynecologic Oncology Physician
  • Scarborough, ME
  • NPI 1851605455

  Family

  NPD
• Mainehealth

  • General Acute Care Hospital
  • Rockport, ME
  • NPI 1982645305
  NPD
• Town of North Haven

  • Community Health Clinic/Center
  • North Haven, ME
  • NPI 1306922281
  NPD
• Town of North Haven

  • Ambulance
  • North Haven, ME
  • NPI 1942323639
  NPD

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164643128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 BAYSIDE W",
            "city": "OWLS HEAD",
            "state": "ME",
            "postal_code": "048543432",
            "telephone_number": "207-594-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 COMMERCIAL ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564201",
            "telephone_number": "207-593-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESJARDINS",
        "first_name": "LISE",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R026287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ann Darge, R.D.H
• Danielle S. Deal, APRN-CNP, FNP-C
• Haydn Taylor Deal, LCSW
• Alexandra L Degenhardt
• Elizabeth Powell Depalma, R.D.H.
• Sarah L Dingle, FNP-C
• Leeann Hilda Dinofrio, PT
• Kristin J Dobbins, N.P.
• Donald J Weaver MD Facp PA
• Cathleen Spencer Dorr, OT CHT

• All providers in Rockport, ME
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.