Individual provider Active NPI

Lisa Sande, NP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1396270625
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10059 Issued in AZ
Practice address
1640 E River Rd Ste 215
Tucson, AZ 85718-7645
Phone
(520) 220-8076
Fax
(520) 300-7156
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP10059 AZ
Family Nurse Practitioner 363LF0000X AP10059 AZ Primary

Addresses

Primary practice location

1640 E River Rd Ste 215
Tucson, AZ 85718-7645

Mailing address

3221 E Waverly St
Tucson, AZ 85716-3206
Phone (520) 870-1052

Other practice location 1

2819 E Broadway Blvd
Tucson, AZ 85716-5309
Phone (520) 771-6702

Other identifiers 1

IdentifierTypeStateIssuer
AP10059OtherAZSTATE LICENSE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20170714002670 AZ Practitioner - Nurse Practitioner 7012287691 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP10059AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Sage Behavioral Health, PLC CurrentSince Jun 1, 2025 Accepting new patients
Sparcc Professional Corporation Family PastSince Jan 1, 2025 Accepting new patients

Locations

2819 E Broadway Blvd
Tucson, AZ 85716
Phone (520) 771-6702

3395 N Campbell Ave
Tucson, AZ 85719
Phone (520) 327-9677

3375 N Campbell Ave
Tucson, AZ 85719
Phone (520) 624-8935

Organizations & group practices 2

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1396270625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 E WAVERLY ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163206",
            "telephone_number": "520-870-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 E RIVER RD STE 215",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857187645",
            "telephone_number": "520-220-8076",
            "fax_number": "520-300-7156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2819 E Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857165309",
            "country_code": "US",
            "telephone_number": "520-771-6702",
            "fax_number": "520-372-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDE",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10059",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE BOARD OF NURSING",
            "identifier": "AP10059",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.