Individual provider Active NPI

Lisa Teresa Greene, NP

  • Family Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1215436233
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11124 Issued in AZ
Practice address
13203 N 103Rd Ave Ste H5
Sun City, AZ 85351-3032
Phone
(623) 777-4747
NPI assigned
Feb 5, 2018
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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 11124 AZ
Family Nurse Practitioner 363LF0000X AP11124 AZ Primary

Addresses

Primary practice location

13203 N 103Rd Ave Ste H5
Sun City, AZ 85351-3032

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Other practice location 1

9327 N 3rd St Ste 300
Phoenix, AZ 85020-2476
Phone (602) 648-5444

Other practice location 2

9070 W Glendale Ave Ste 210
Glendale, AZ 85305-1120
Phone (602) 648-5444

Other practice location 3

21250 W Roosevelt St Ste 106
Buckeye, AZ 85326-0313
Phone (602) 648-5444

Other practice location 4

14300 W Granite Valley Dr Ste A1
Sun City West, AZ 85375-5797
Phone (623) 777-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180418002162 AZ Practitioner - Nurse Practitioner 6709149032 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novaspine Pain Institute PLCGroup PAC ID 9931323359, 20 clinicians

Practice addresses (Care Compare)

13203 N 103Rd Ave
Suite H5
Sun City, AZ 85351-3032
Phone (623) 777-4747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11124AZMDFamily Nurse Practitioner
AP11124AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novaspine Pain Institute, PLC CurrentSince Jun 1, 2022 Accepting new patients
Novaspine Pain Institute, PLC CurrentSince Jun 1, 2022 Accepting new patients
Chestnut Health of Arizona PLLC CurrentSince Oct 6, 2025 Accepting new patients
Bella Healthcare LLC Family CurrentSince Mar 15, 2022 Accepting new patients
Elite Anesthesia LLC Past Accepting new patients

Locations

17100 N 67th Ave
Ste 300
Glendale, AZ 85308
Phone (623) 878-8999

11812 N 19th Ave
Phoenix, AZ 85029
Phone (602) 833-4177

13203 N 103rd Ave
Ste H5
Sun City, AZ 85351
Phone 62377747474789

14300 W Granite Valley Dr
Ste A1
Sun City West, AZ 85375
Phone (602) 546-8689

1001 E Warner Rd
Ste 107
Tempe, AZ 85284
Phone (480) 897-3300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1215436233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 N 103RD AVE STE H5",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513032",
            "telephone_number": "623-777-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9327 N 3rd St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850202476",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9070 W Glendale Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853051120",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21250 W Roosevelt St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853260313",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14300 W Granite Valley Dr Ste A1",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755797",
            "country_code": "US",
            "telephone_number": "623-777-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "LISA",
        "middle_name": "TERESA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "11124",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.