Lisa Christine Gavin Kucera, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22920 Issued in CA

Practice address

2485 Hospital Dr Ste 321
Mountain View, CA 94040-4103

Phone

(650) 988-7830

NPI assigned

Mar 5, 2013

Last updated

Aug 12, 2015By 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 Christine Gavin Former name

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": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1588905236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 HOSPITAL DR STE 321",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404103",
            "telephone_number": "650-988-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HOSPITAL DR STE 321",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404103",
            "telephone_number": "650-988-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCERA",
        "first_name": "LISA",
        "middle_name": "CHRISTINE GAVIN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GAVIN",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Torben Kristensen, M.D.
• Tovah Shoshana Krokoszynski, PSYD
• Rachel Wirthlin Kruger, MPH, RDN
• Malti Pathak Kshirsagar, M.D.
• Sylvia Nieto Kubota, RNNP
• Vera Kugel, LMFT
• Arjun Kulandaivelu, DDS
• Mrunal Kulkarni
• Jasneet Dhillon Kullar, M.D.
• Radhika Kumari, MD

• Family Nurse Practitioner in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.