Lisa Drummond, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

208 Issued in AZ

Practice address

15650 N Black Canyon Hwy
Suite 100
Phoenix, AZ 85053-4064

Phone

(602) 866-0550

Fax

(602) 993-5788

NPI assigned

Aug 22, 2005

Last updated

Mar 21, 2008By the provider in NPPES

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 identifiers 1

Other names 1

• Lisa D Drummond Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Pediatric Group Specialists, LTD.

  dba Pediatrix

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1639164833
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1275525529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15650 N BLACK CANYON HWY",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534064",
            "telephone_number": "602-866-0550",
            "fax_number": "602-993-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15650 N BLACK CANYON HWY",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534064",
            "telephone_number": "602-866-0550",
            "fax_number": "602-993-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "477613",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DRUMMOND",
            "middle_name": "D",
            "credential": "PNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Drozdz, CCP
• DRPS Iom Professional LLC
• DRPS Iom Technical LLC
• DRSM, PC
• Sarah E Drum, APRN
• Taylor Marie Drummonds, PA-C
• Michael Scott Drury, M.D.
• Susanne S Drury, PH.D.
• DRX Arizona I, LLC. (Doctors Express)
• Stefanie Dryer

• Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.