Megan Lister

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61492105 Issued in WA

Practice address

5602 Ruddell Rd SE
Lacey, WA 98503-5163

Phone

(855) 801-0175

NPI assigned

Nov 9, 2023

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

Medicare fee-for-service enrollment

Enrolled in WA

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

Interoperability endpoints

• Direct secure messaging: megan.lister.1@27085.direct.athenahealth.com

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.

• Best Northwest Physicians PLLC

  • Internal Medicine Physician
  • Bonney Lake, WA
  • NPI 1568729572
  NPD
• Eatonville Integrative Medicine P.S.

  • Family Medicine Physician
  • Eatonville, WA
  • NPI 1962137125
  NPD (past)

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1346014479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 JEFFERSON ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511081440",
            "telephone_number": "712-870-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 RUDDELL RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035163",
            "telephone_number": "855-801-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61492105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Linkous, BCBA
• Melanie L Lipke, CD, RD, CDE
• Olga Lipson
• Kylie Chantel Lis, L.M.P
• Gwendolyn Dacup Lisle
• Tiffany Llamas
• Samantha J Lloyd
• Nicole Lobovikova
• Shay Locken
• Alice Renee Loebsack, ATC, CSCS

• Family Nurse Practitioner in Lacey, WA
• Providers in Lacey, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.