Active NPI
Lisa Renee' Ford, FNP
- Family Nurse Practitioner
- El Paso, TX
National Provider Identifier
1477529261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17686
- Practice address
- 5005 N Piedras Street
El Paso, TX 79920 - Phone
- (915) 742-1390
- NPI assigned
- Feb 23, 2006
- 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 | 17686 | TN | Primary |
Addresses
Primary practice location
5005 N Piedras Street
El Paso, TX 79920
Mailing address
55 Lobstertail Rd
Big Pine Key, FL 33043-3312
Phone (931) 206-9488
Other names 1
- Lisa Renee' Ford
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17686 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1477529261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 LOBSTERTAIL RD",
"city": "BIG PINE KEY",
"state": "FL",
"postal_code": "330433312",
"telephone_number": "931-206-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS STREET",
"city": "EL PASO",
"state": "TX",
"postal_code": "79920",
"telephone_number": "915-742-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "LISA",
"middle_name": "RENEE'",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2021-06-29",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "17686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "FORD",
"middle_name": "RENEE'",
"credential": "FNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.