Lisa Clendennen Gubicza

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

102234 Issued in NC

Practice address

3104 Daingerfield Dr
Raleigh, NC 27616-8988

Phone

(919) 819-0023

NPI assigned

Feb 23, 2022

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1174279673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 DAINGERFIELD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168988",
            "telephone_number": "919-819-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 DAINGERFIELD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168988",
            "telephone_number": "919-819-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBICZA",
        "first_name": "LISA",
        "middle_name": "CLENDENNEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NC",
            "license": "102234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Angel Home Care, Inc
• Guardian Care Solutions LLC
• Guardian Home Healthcare
• Guardian Medical Supplies, Inc.
• Michael Joseph Guardino, D.C.
• Mary Brannan Gubitz, LMFTA
• Radha Chandana Guddati, M.D
• Christopher J Gudger, DDS
• Brittany Guerin, LPCA
• Dennise Alejandra Guerra, MSW, LCSWA

• Case Management Registered Nurse in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Case Management Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.