Lisa M Hartley, RN BSN CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

20210187 Issued in CA

Practice address

681 Main St
Ste 100
Placerville, CA 95667-5736

Phone

(530) 626-2990

Fax

(530) 626-2992

NPI assigned

Dec 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497731707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MARSHALL WAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676533",
            "telephone_number": "530-626-2990",
            "fax_number": "530-626-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 MAIN ST",
            "address_2": "STE 100",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675736",
            "telephone_number": "530-626-2990",
            "fax_number": "530-626-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RN BSN CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "308969",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "20210187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "308969",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDE",
            "identifier": "20210187",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Harrington, LCSW
• Kristina Marie Harris, CADC-II
• Nathan William Harris, RADT-1
• Tautteaonna Harris
• Tracy Ann Harris, NP
• Allison Ruth Harvey, MD
• Suzzette Kay Havens
• Carol Aycock Hayden, M.S,/CCC/SLP
• Megan A Headd, RADT 1
• Gail Elizabeth Healy, LCSW

• Diabetes Educator Registered Nurse in Placerville, CA
• Providers in Placerville, CA by specialty
• Diabetes Educator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.