Individual provider Active NPI

Rachel Lisle

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1457826596
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139094 Issued in TX
Practice address
4020 N Macarthur Blvd Ste 122
PMB 1110
Irving, TX 75038-6422
Phone
(972) 922-6167
NPI assigned
Oct 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139094 TX Primary

Addresses

Primary practice location

4020 N Macarthur Blvd Ste 122
PMB 1110
Irving, TX 75038-6422

Mailing address

4020 N Macarthur Blvd Ste 122
Irving, TX 75038-6422
Phone (972) 922-6167

Other practice location 1

416 Greenridge Dr
Coppell, TX 75019-5714
Phone (972) 510-3053

Other practice location 2

416 Greenridge Dr
Coppell, TX 75019-5714
Phone (972) 510-3053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1457826596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 N MACARTHUR BLVD STE 122",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386422",
            "telephone_number": "972-922-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 N MACARTHUR BLVD STE 122",
            "address_2": "PMB 1110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386422",
            "telephone_number": "972-922-6167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 Greenridge Dr",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750195714",
            "country_code": "US",
            "telephone_number": "972-510-3053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 Greenridge Dr",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750195714",
            "country_code": "US",
            "telephone_number": "972-510-3053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISLE",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.