Individual provider Active NPI

Danielle Lisse, DNP,APRN,CPNP-PC

  • Pediatric Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1548815459
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
145538 Issued in AK
Practice address
2741 Debarr Rd Ste C308
Anchorage, AK 99508-2972
Phone
(907) 331-3640
Fax
(907) 331-3647
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 145538 AK Primary

Addresses

Primary practice location

2741 Debarr Rd Ste C308
Anchorage, AK 99508-2972

Mailing address

2741 Debarr Rd Ste C308
Anchorage, AK 99508-2972
Phone (907) 331-3640

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Other

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

LicenseStateTypeSpecialty
145538AKMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Neurology and Sleep Medicine, LLC Past Accepting new patients
Alaska Center for Pediatrics, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: danielle.lisse.1@9493.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9493/brand/2/csg/1/fhir/r4
  • Direct secure messaging: danielle.lisse.1@10055.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1548815459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C308",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082972",
            "telephone_number": "907-331-3640",
            "fax_number": "907-331-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C308",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082972",
            "telephone_number": "907-331-3640",
            "fax_number": "907-331-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISSE",
        "first_name": "DANIELLE",
        "credential": "DNP,APRN,CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AK",
            "license": "145538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "We do not send health information via email.",
            "address_1": "2741 DeBarr Rd Ste C308",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995082972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.