Individual provider Active NPI

Lisa Emmans, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1356417414
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29814 Issued in AZ
Practice address
10950 N la Canada Dr
22-204
Tucson, AZ 85737-5940
Phone
(480) 221-6715
NPI assigned
Nov 28, 2006
Last updated
Aug 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29814 AZ Primary

Addresses

Primary practice location

10950 N la Canada Dr
22-204
Tucson, AZ 85737-5940

Mailing address

10950 N la Canada Dr
22-204
Tucson, AZ 85737-5940
Phone (480) 221-6715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618000278 TX Practitioner - Internal Medicine 3779488069 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
West Yavapai Guidance Clinic, Inc. CurrentSince Jan 9, 2025 Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Apr 15, 2020 Accepting new patients
West Yavapai Guidance Clinic CurrentSince Jan 9, 2025 Accepting new patients
West Yavapai Guidance Clinic, Inc Current Accepting new patients
Ingenuity Medical Group LLC Past Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

505 S Cortez St
Prescott, AZ 86303
Phone (602) 445-7730

3345 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 583-6411

3343 N Windsong Dr
Prescott Vly, AZ 86314
Phone (406) 541-3669

Interoperability endpoints

  • Direct secure messaging: lisa.emmansmd.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1356417414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 N LA CANADA DR",
            "address_2": "22-204",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857375940",
            "telephone_number": "480-221-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 N LA CANADA DR",
            "address_2": "22-204",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857375940",
            "telephone_number": "480-221-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMANS",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.