Active NPI
Lisa A Rios- Buemi, CRNP
- Nurse Practitioner
- Wynnewood, PA
National Provider Identifier
1346684065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP012692
- Practice address
- 100 E Lancaster Ave
Wynnewood, PA 19096-3450 - Phone
- (610) 645-2494
- Fax
- (610) 645-4456
- NPI assigned
- Apr 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP012692 | PA | Primary |
Addresses
Primary practice location
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Mailing address
100 Lancaster Ave
Cancer Center
Wynnewood, PA 19096
Phone (610) 645-2494
Other practice location 1
3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP012692 | PA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1346684065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LANCASTER AVE",
"address_2": "CANCER CENTER",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "19096",
"telephone_number": "610-645-2494",
"fax_number": "610-645-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-645-2494",
"fax_number": "610-645-4456"
}
],
"practiceLocations": [
{
"address_1": "3401 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405103",
"country_code": "US",
"telephone_number": "215-707-4000",
"fax_number": "215-707-5066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIOS- BUEMI",
"first_name": "LISA",
"middle_name": "A",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP012692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.