Lisa H Allee, CNM

Individual provider Active NPI Advanced Practice Midwife · Shiprock, NM

NPI 1285754606 · NPPES record last updated Dec 4, 2020

Key facts

NPI
1285754606
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
APN.0000414-CNM (CO)
Practice address
US Hwy 491 North
Shiprock, NM 87420
Phone
(505) 368-6001
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN.0097106COMDRegistered Nurse
R37618NMMDRegistered Nurse
APN.0000414-CNMCOMDMidwife
502NMMDHearing Instrument Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R37618 NM
Registered Nurse 163W00000X RN.0097106 CO
Midwife 176B00000X APN.0000414-CNM CO
Advanced Practice Midwife 367A00000X APN.0000414-CNM CO Yes

Addresses

Primary practice location

US Hwy 491 North
Shiprock, NM 87420

Mailing address

PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-6001

Other identifiers

IdentifierTypeStateIssuer
H0546MedicaidNM
702482MedicaidAZ

Other providers in Shiprock, NM

All providers in Shiprock, NM · Advanced Practice Midwife in New Mexico

Sources for this page

Verify at the official NPI Registry.