Active NPI
Lisa Stemm, A.P.R.N.
- Adult Health Nurse Practitioner
- New London, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 002899
- Practice address
- 78 Viets St
New London, CT 06320-3354 - Phone
- (860) 271-4364
- Fax
- (413) 543-7962
- NPI assigned
- Jul 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 002899 | CT | |
| Adult Health Nurse Practitioner | 363LA2200X | 002899 | CT | Primary |
Addresses
Primary practice location
78 Viets St
New London, CT 06320-3354
Mailing address
819 Worcester St
Ste 3
Springfield, MA 01151-1045
Phone (413) 543-6820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004237203 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002899 | CT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnectmd Connecticut PC | Current | Accepting new patients | |
| HDC Care Solutions, LLC | Adult Health | Current | Accepting new patients |
| Ipc Hospitalists of New England PC | Current | Accepting new patients | |
| Healthdrive Medical Services Southeast LLC | Adult Health | Current | Accepting new patients |
| Ipc Hospitalists of New England, P.C. | Adult Health | Current | Accepting new patients |
| Value Based Long Term Care H PC | Current | Accepting new patients | |
| Absolute Outcomes, LLC | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550
31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
78 Viets St
New London, CT 06320
Phone (860) 447-1416
5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264
1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000
819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820
Organizations & group practices 7
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Stamford, CT
- NPI 1467187336
-
- Nurse Practitioner
- Columbia, MD
- NPI 1437930146
Adult Health, CT
-
- Pediatric Cardiology Physician
- Springfield, MA
- NPI 1821401761
Adult Health, CT
-
- Geriatric Medicine (Internal Medicine) Physician
- Framingham, MA
- NPI 1134951676
CT
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1801330287
-
- Internal Medicine Physician
- Monroe, CT
- NPI 1073746202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1174540694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 WORCESTER ST",
"address_2": "STE 3",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011511045",
"telephone_number": "413-543-6820",
"fax_number": "413-543-7962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 VIETS ST",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063203354",
"telephone_number": "860-271-4364",
"fax_number": "413-543-7962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEMM",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "A.P.R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CT",
"license": "002899",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "002899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004237203",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.