Individual provider Active NPI

Lisa Thi Lertique, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1609799188
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
300447 Issued in AZ
Practice address
687 W Juanita Ave
Gilbert, AZ 85233-2626
Phone
(480) 234-7442
NPI assigned
Aug 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 300447 AZ Primary

Addresses

Primary practice location

687 W Juanita Ave
Gilbert, AZ 85233-2626

Mailing address

687 W Juanita Ave
Gilbert, AZ 85233-2626
Phone (480) 234-7442

Other practice location 1

2730 S Val Vista Dr Ste 152
Gilbert, AZ 85295-1682
Phone (480) 963-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1609799188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 W JUANITA AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852332626",
            "telephone_number": "480-234-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 W JUANITA AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852332626",
            "telephone_number": "480-234-7442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 S Val Vista Dr Ste 152",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852951682",
            "country_code": "US",
            "telephone_number": "480-963-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LERTIQUE",
        "first_name": "LISA",
        "middle_name": "THI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "300447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.