Lisa Kogan, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5992251-4405 Issued in UT

Practice address

47 N 100 E
St George, UT 84770-3402

Phone

(435) 229-4473

Fax

(435) 236-6300

NPI assigned

Oct 2, 2019

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa@lisakoganfnp.kareodirect.com
• Direct secure messaging: lisa.kogan@444886571745284.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sorenson Chiropractic PLLC

  • Chiropractor
  • St George, UT
  • NPI 1669616348
  NPD
• Steven E Warren MD PC LLC

  • Geriatric Medicine (Family Medicine) Physician
  • SLC, UT
  • NPI 1235426925
  NPD (past)

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1629619531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W TELEGRAPH ST UNIT 242",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847806009",
            "telephone_number": "435-229-4473",
            "fax_number": "435-236-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 N 100 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703402",
            "telephone_number": "435-229-4473",
            "fax_number": "435-236-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "LISA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "5992251-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAP",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "47 N 100 E",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847703402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nikia Koday
• Samantha Koehn, LCSW
• Natalie Kofford, MFT
• Martin Koford, ACMHC
• Austin Robert Kogan
• Shawn Kolar, PHARMD.
• Brian Bennett Koldyke, MSN, FNP-C
• Kolob Therapeutic Services
• Kenza Komara
• Jayce Komiya

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.