Lisa Trubenbach, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F01210272 Issued in TX

Practice address

4616 US Hwy 75 Ste 203
Denison, TX 75020-4582

Phone

(903) 462-6310

NPI assigned

Jan 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Texoma Liver Center PLLC

  • Internal Medicine Physician
  • Denison, TX
  • NPI 1174035117
  Medicare reassignment NPD

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1417545344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 US HWY 75 STE 203",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204582",
            "telephone_number": "903-462-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 US HWY 75 STE 203",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204582",
            "telephone_number": "903-462-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUBENBACH",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F01210272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "F01210272",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tung Thomas Tran, M.D.
• Tri-County Senior Nutrition Project, Inc. (Meals on Wheels of Texoma)
• Trotter Social Services (Serenity Therapy)
• Ashley Trowbridge, NP
• Molly Katherine Moran Trowbridge, M.D.
• Ted F Truly, MD
• Grace B Tucker, MD
• Michael Justin Turner, D.C.
• Scott Christopher Turner, D.O.
• Txok Urgent Cares

• Nurse Practitioner in Denison, TX
• Providers in Denison, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.