Lisa Louise Kuettle, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20055078NP Issued in OR

Practice address

1700 SE Tempest Dr
Bend, OR 97702-1884

Phone

(541) 323-3854

Fax

(541) 383-1883

NPI assigned

Jul 24, 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Partners in Care, Inc

  • Community Based Hospice Care Agency
  • Bend, OR
  • NPI 1336567585
  Medicare reassignment NPD
• Mosaic Community Health

  • Federally Qualified Health Center (FQHC)
  • Bend, OR
  • NPI 1346656444
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1285656801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 NW BEAVER ST STE 101",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541802",
            "telephone_number": "541-447-0707",
            "fax_number": "541-383-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE TEMPEST DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021884",
            "telephone_number": "541-323-3854",
            "fax_number": "541-383-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUETTLE",
        "first_name": "LISA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "20055078NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140447",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Kruse, LMT
• Rebecca Barnhart Kryck, PA-C
• Roger Allen Kryzanek, L.C.S.W.
• James G.K. Ku
• Hanako Kubori
• Mary Jeanne Kuhar, MD
• Kuhn and Kuhn PC
• Brandi Lee Kuhn, D.C.
• Joshua Lee Kuhn, D.C.
• Sara Elizabeth Kuhn, RD, LD

• Family Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.