Lisa Carol Stewart, AGAC-NP BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1019615 Issued in TX

Practice address

800 8TH Ave Ste 206
Fort Worth, TX 76104-2619

Phone

(817) 529-9199

NPI assigned

May 15, 2021

Last updated

May 15, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WT Health of Arizona LLCGroup PAC ID 1951834811, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• WT Health of Arizona LLC

  • Infectious Disease Physician
  • Anthem, AZ
  • NPI 1588494728
  Medicare reassignment Care Compare group NPD
• Woundtech of Texas

  • Infectious Disease Physician
  • Baytown, TX
  • NPI 1336538925
  Medicare reassignment NPD
• WT Health of Texas LLC

  • Infectious Disease Physician
  • Baytown, TX
  • NPI 1801690292
  Medicare reassignment NPD
• Minghsun Liu, MD PC

  dba Woundtech of Arizona

  • Infectious Disease Physician
  • Anthem, AZ
  • NPI 1316454945
  Medicare reassignment NPD

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1548834476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042619",
            "telephone_number": "817-529-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042619",
            "telephone_number": "817-529-9199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043902",
            "country_code": "US",
            "telephone_number": "817-229-2705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042122",
            "country_code": "US",
            "telephone_number": "817-229-2705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Hospital Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760226913",
            "country_code": "US",
            "telephone_number": "817-229-2705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LISA",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "AGAC-NP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1019615",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1019615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Marie Stewart
• Faith Ashley Stewart, M.D.
• Kadriyonna De'Anjonae Stewart
• Kara L Stewart, MD
• Lauren Brown Stewart, FNP-C
• Michael Anthony Stewart II, MD
• Nia Stewart, LPC
• Rachel Anne Stewart, FNP
• Ronald Addan Stewart, D.O.
• Samantha Stewart, RD, LD

• Acute Care Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.