Lisa Shaheen, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0992530-NP Issued in CO

Practice address

4644 Winona PL
Broomfield, CO 80020-5647

Phone

(720) 320-5030

NPI assigned

Aug 26, 2016

Last updated

Aug 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1366998734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4644 WINONA PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205647",
            "telephone_number": "720-320-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 WINONA PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205647",
            "telephone_number": "720-320-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "LISA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992530-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Eugene Setter, D.C.
• Patrick Settle, LSW
• Marianna F Severson
• Valerie Anne Shade, FNP-C
• Max Shafer
• Sara Shahid, MD
• Bahar Shahidi, D.P.T.
• Kasaundra Shalom, LMT
• Shiri Shapira-Simchi
• Sharp Smiles Orthodontics

• Family Nurse Practitioner in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.