Individual provider Active NPI

Lisa Simpson, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1336355759
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
303121 Issued in NY
Practice address
Evercare - United Healthcare
1 Penn Plaza, 7TH FL. Ste. 725
New York, NY 10119
Phone
(212) 216-6568
Fax
(212) 216-6606
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 303121 NY Primary

Addresses

Primary practice location

Evercare - United Healthcare
1 Penn Plaza, 7TH FL. Ste. 725
New York, NY 10119

Mailing address

Evercare - United Healthcare
1 Penn Plaza, 7TH FL. Ste. 725
New York, NY 10119
Phone (212) 216-6568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20110518000479 NY Practitioner - Nurse Practitioner 1153507678 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
303121NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC CurrentSince Nov 30, 2015 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Nov 30, 2015 Accepting new patients
Premier Healthcare, Inc. CurrentSince Sep 30, 2019 Accepting new patients
Bhaskar R. Yeturu Physician PC CurrentSince Nov 1, 2012 Accepting new patients
Premier Healthcare, Inc. CurrentSince Sep 30, 2019 Accepting new patients
Stephanie Carter-Robin DPM PC PastSince Oct 1, 2016 Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

111 E 210th St
Bronx, NY 10467

175 Remsen St
Fl 4
Brooklyn, NY 11201
Phone (212) 273-6182

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

10017 23rd Ave
Flushing, NY 11369
Phone (718) 205-8100

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

1060 Amsterdam Ave
New York, NY 10025
Phone (212) 316-7700

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1336355759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EVERCARE - UNITED HEALTHCARE",
            "address_2": "1 PENN PLAZA, 7TH FL. STE. 725",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10119",
            "telephone_number": "212-216-6568",
            "fax_number": "212-216-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EVERCARE - UNITED HEALTHCARE",
            "address_2": "1 PENN PLAZA, 7TH FL. STE. 725",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10119",
            "telephone_number": "212-216-6568",
            "fax_number": "212-216-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "303121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.