Lisa Certonio, NNP-BC

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

376714-4405 Issued in UT

Practice address

544 S 400 E
St George, UT 84770-3705

Phone

(435) 688-5440

NPI assigned

Mar 6, 2015

Last updated

Sep 21, 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 1

Addresses

Other names 1

• Lisa Wilkins Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lisa.certonio@direct.imail.org

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1588057152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 S ANGELL HEIGHTS DR",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847372665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 S 400 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703705",
            "telephone_number": "435-688-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERTONIO",
        "first_name": "LISA",
        "credential": "NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "UT",
            "license": "376714-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.certonio@direct.imail.org",
            "affiliation": "N",
            "address_1": "544 S 400 E",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847703705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WILKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Centerfield Healthcare (Summit Hospice St. George)
• Centerfield Healthcare (Summit Home Health St. George)
• Central Utah Clinic, P.C. (Revere Health)
• Central Utah Clinic, P.C. (Revere Health)
• Central Utah Clinic, P.C. (Revere Health)
• Matthew Certonio, NP
• Alessandra Cervantes
• Rita Rose Cervantes
• Colby Cevering, DO
• Caleb Chacon, PMHNP

• Critical Care Neonatal Nurse Practitioner in St George, UT
• Providers in St George, UT by specialty
• Critical Care Neonatal Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.