Active NPI
Lisa Darden, NP
- Acute Care Nurse Practitioner
- Colton, CA
National Provider Identifier
1497426928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95017964
- Practice address
- 400 N Pepper Ave
Colton, CA 92324-1801 - Phone
- (909) 580-1000
- NPI assigned
- Sep 23, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 95017964 | CA | |
| Acute Care Nurse Practitioner | 363LA2100X | 95017964 | CA | Primary |
Addresses
Primary practice location
400 N Pepper Ave
Colton, CA 92324-1801
Mailing address
2045 Las Colinas Cir Unit 201
Corona, CA 92879-7895
Phone (951) 830-9428
Other practice location 1
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017964 | CA | MD | Acute Care Nurse Practitioner |
Interoperability endpoints
- ldarden268881@direct.llu.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1497426928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 LAS COLINAS CIR UNIT 201",
"city": "CORONA",
"state": "CA",
"postal_code": "928797895",
"telephone_number": "951-830-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "909-580-1000"
}
],
"practiceLocations": [
{
"address_1": "26520 Cactus Ave",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925553927",
"country_code": "US",
"telephone_number": "951-486-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARDEN",
"first_name": "LISA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "CA",
"license": "95017964",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95017964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.