Active NPI
Rachel Lisle
- Family Nurse Practitioner
- Irving, TX
National Provider Identifier
1457826596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP139094
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.