Individual provider Active NPI

Lisa A Garner, FNP-C

  • Family Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1184167736
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009475 Issued in CA
Practice address
24035 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone
(310) 792-4012
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-77453 KS
Family Nurse Practitioner 363LF0000X 95009475 CA Primary

Addresses

Primary practice location

24035 Newhall Ranch Rd
Santa Clarita, CA 91355

Mailing address

24035 Newhall Ranch Rd
Santa Clarita, CA 91355-5702
Phone (310) 792-4012

Other practice location 1

1515 S Clifton Ave Ste 400
Wichita, KS 67218-2961
Phone (316) 636-1550

Other practice location 2

1515 S Clifton Ave Ste 400
Wichita, KS 67218-2961
Phone (316) 636-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-77453KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman County Family Medicine,LLC Past Accepting new patients
Ascension Medical Group Via Christi, PA Past Accepting new patients

Organizations & group practices 2

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": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1184167736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 NEWHALL RANCH RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913555702",
            "telephone_number": "310-792-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24035 NEWHALL RANCH RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "310-792-4012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 S Clifton Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672182961",
            "country_code": "US",
            "telephone_number": "316-636-1550",
            "fax_number": "316-796-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 S Clifton Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672182961",
            "country_code": "US",
            "telephone_number": "316-636-1550",
            "fax_number": "316-796-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.