Lisa Teresa Greene, NP

Key facts

NPI

1215436233

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

AP11124 (AZ)

Practice address

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

Phone

(623) 777-4747

NPI assigned

Feb 5, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 6

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.

• Novaspine Pain Institute, PLC Pain Medicine Physician · Sun City West, AZ · NPI 1154745263
  Medicare reassignment Care Compare group NPD AZ
• Bella Healthcare LLC Pain Medicine (Physical Medicine & Rehabilitation) Physician · Tempe, AZ · NPI 1386065183
  Medicare reassignment NPD AZ · FAMILY
• Chestnut Health of Arizona PLLC Internal Medicine Physician · Phoenix, AZ · NPI 1366318974
  Medicare reassignment NPD AZ
• Novaspine Pain Institute, PLC Pain Medicine Physician · Sun City West, AZ · NPI 1265233019
  Care Compare group NPD
• Novaspine Pain Institute, PLC Durable Medical Equipment & Medical Supplies · Sun City, AZ · NPI 1124579628
  Care Compare group
• Elite Anesthesia LLC Anesthesiology Physician · Paducah, KY · NPI 1215608096
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novaspine Pain Institute PLC (20 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 1, 2022.

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1215436233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052209",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "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": "17100 N 67th Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853083657",
            "country_code": "US",
            "telephone_number": "623-777-4747",
            "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": "2022-06-01",
        "certification_date": "2022-06-01",
        "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

• Grand West Family Practice and Wellness LLC
• Heidi Lee Grande
• Thomas Alan Green, FNP-BC
• Gregory Alan Greenbaum, M.D
• David Lawrence Greene, M.D.
• Lindsey Greenup, PT, DPT
• Annet Grijalva, CRNA
• James Stewart Grindley, MD
• Leon J Grobler, MD
• Alan M Grobman, MD

All providers in Sun City, AZ · Family Nurse Practitioner in Arizona