Lisa Blackmon Dugger, APRN, ACNS-BC

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

95043380 Issued in CA

Practice address

9819 Yoakum Dr
Beverly Hills, CA 90210-1437

Phone

(310) 423-5098

NPI assigned

Nov 19, 2012

Last updated

Mar 29, 2017By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1578807293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9819 YOAKUM DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101437",
            "telephone_number": "310-423-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9819 YOAKUM DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101437",
            "telephone_number": "310-423-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGER",
        "first_name": "LISA",
        "middle_name": "BLACKMON",
        "credential": "APRN, ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "674722",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "95043380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Dubinskaya, M.D.
• Robert William Dubois, M.D.
• Andre Pierrette Duchesneau, MFT, PH.D
• Michael T Duffy, M.D.
• Deepak Raj Dugar, MD
• Julie Anne Dunhill, M.D.
• Kristi M Dunn, PHD
• Rebecca Kate Dunn, PSYD
• Richard Guy Dunn, PH.D., M.F.T.
• Tiffany Garcia Dunn, LCSW

• Diabetes Educator Registered Nurse in Beverly Hills, CA
• Providers in Beverly Hills, 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 Mar 29, 2017; 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.