Lisa Dahlquist Stephens, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30005786 Issued in WA

Practice address

1 Boone Rd
Family Medicine Clinic Naval Hospital
Bremerton, WA 98312

Phone

(360) 475-4379

Fax

(360) 475-4633

NPI assigned

Jan 27, 2006

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

Other names 1

• Lisa Gerda Dahlquist Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1194796300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOONE RD",
            "address_2": "FAMILY MEDICINE CLINIC NAVAL HOSPITAL",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98312",
            "telephone_number": "360-475-4379",
            "fax_number": "360-475-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOONE RD",
            "address_2": "FAMILY MEDICINE CLINIC NAVAL HOSPITAL",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98312",
            "telephone_number": "360-475-4379",
            "fax_number": "360-475-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "LISA",
        "middle_name": "DAHLQUIST",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DAHLQUIST",
            "middle_name": "GERDA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Steinke
• Beth Stenwick
• Stephen a. Habener, M.D., Inc., P.S.
• Alicia Denise Stephens, DDS
• Etsuko Stephens, MA
• Brittany Sterling, ARNP
• Kenneth Michael Stern Jr., RN
• Melissa M Stern
• Wesley Stern
• Kimberly Stevens, CDP

• Family Nurse Practitioner in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.