Lizette Retis, FNP, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

133496 Issued in NC

Practice address

327 1St Ave NW
Hickory, NC 28601-6122

Phone

(828) 695-5900

Fax

(828) 695-4256

NPI assigned

Feb 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Southcare Minute Clinic Inc

  • Urgent Care Clinic/Center
  • Wilmington, NC
  • NPI 1023271210
  NPD (past)
• Starmed Urgent & Family Care, P.a.

  • Physician Assistant
  • Charlotte, NC
  • NPI 1790282853
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1376519785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 1ST AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016122",
            "telephone_number": "828-695-5900",
            "fax_number": "828-695-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 1ST AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016122",
            "telephone_number": "828-695-5900",
            "fax_number": "828-695-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETIS",
        "first_name": "LIZETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "363L00000X",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "133496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rek LTD
• Amanda Repass, NP-C
• Pairoj Rerkpattanapipat, MD
• Resilience Therapy and Wellness PLLC
• Restorative Balance Integrative Health
• Jason C. Reutter, M.D.
• Sarah Emma Sessoms Reutter
• Revive Wellness and Aesthetics
• Bailey Reyes
• James A Reynolds, CRNA

• Family Nurse Practitioner in Hickory, NC
• Providers in Hickory, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.