Lisa Ann Molt, BSN, RN, CDCES

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

110430 Issued in KS

Practice address

834 N Socora St Ste 4
Wichita, KS 67212-3729

Phone

(316) 440-2802

Fax

(316) 440-2809

NPI assigned

Mar 21, 2024

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 Ann White Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

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.

• Great Plains Diabetes Research, Inc

  • Clinical Nurse Specialist
  • Wichita, KS
  • NPI 1912316811
  NPD

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1215797618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST STE 4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123729",
            "telephone_number": "316-440-2802",
            "fax_number": "316-440-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST STE 4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123729",
            "telephone_number": "316-440-2802",
            "fax_number": "316-440-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLT",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "BSN, RN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "KS",
            "license": "110430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WHITE",
            "middle_name": "ANN",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Francesca Mohr, PTA
• Lindsey Mohr, SLP
• Kara Rae Molina
• Steve William Molina, RN
• Molly Traffas, LLC
• Moments Hospice of Wichita
• Christina L. Monaghan, PHARM. D.
• Bradley Michael Monahan, D.C.
• Monarch Physical Therapy & Wellness
• Sara Monckton

• Diabetes Educator Registered Nurse in Wichita, KS
• Providers in Wichita, KS by specialty
• Diabetes Educator Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.