Individual provider Active NPI

Lisa Sitterly, NP

  • Family Nurse Practitioner
  • Utica, NY
National Provider Identifier
1598850463
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F334942-1 Issued in NY
Practice address
1424 Genesee St
Utica, NY 13502-5101
Phone
(518) 374-5353
Fax
(518) 377-2517
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 423653-1 NY
Family Nurse Practitioner 363LF0000X F334942-1 NY Primary

Addresses

Primary practice location

1424 Genesee St
Utica, NY 13502-5101

Mailing address

1040 State St
Atten: Human Resources
Schenectady, NY 12307-1508
Phone (518) 374-5353

Other identifiers 1

IdentifierTypeStateIssuer
4148322OtherNYMVP

Other names 1

  • Lisa Burns Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000316 NY Practitioner - Nurse Practitioner 9739275744 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
423653-1NYMDRegistered Nurse
F334942-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater New York Inc CurrentSince Jan 19, 2020 Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. Past Accepting new patients

Locations

44 Court St
Fl 6
Brooklyn, NY 11201
Phone (718) 852-6879

109 Legion Dr
Cobleskill, NY 12043
Phone (518) 234-3325

400 N Perry St
Johnstown, NY 12095
Phone (518) 284-3570

2141 45th Rd
Long Island City, NY 11101
Phone (212) 965-7000

543 Bay Rd
Queensbury, NY 12804
Phone (518) 761-2663

111 E Chestnut St
Rome, NY 13440
Phone (315) 337-8584

1040 State St
Schenectady, NY 12307
Phone (518) 374-5353

1424 Genesee St
Utica, NY 13502
Phone (315) 724-6146

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1598850463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 STATE ST",
            "address_2": "ATTEN: HUMAN RESOURCES",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123071508",
            "telephone_number": "518-374-5353",
            "fax_number": "518-377-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025101",
            "telephone_number": "518-374-5353",
            "fax_number": "518-377-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITTERLY",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "423653-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334942-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4148322",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BURNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.