Individual provider Active NPI

Lisa Stemm, A.P.R.N.

  • Adult Health Nurse Practitioner
  • New London, CT
National Provider Identifier
1174540694
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
002899 Issued in CT
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

Updated by the provider on Dec 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004237203MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100322000298 CT Practitioner - Nurse Practitioner 7517092182 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
002899CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Connecticut PC CurrentSince Jun 21, 2023 Accepting new patients
HDC Care Solutions, LLC Adult Health CurrentSince May 1, 2022 Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Jun 19, 2013 Accepting new patients
Healthdrive Medical Services Southeast LLC Adult Health CurrentSince Aug 1, 2025 Accepting new patients
Ipc Hospitalists of New England, P.C. Adult Health CurrentSince Jun 19, 2013 Accepting new patients
Value Based Long Term Care H PC CurrentSince May 1, 2025 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.

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

Verify at the official NPI Registry.