Individual provider Active NPI

Lisa Chubb, MSN, RN

  • Administrator Registered Nurse
  • Carmel, IN
National Provider Identifier
1629690516
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
28188197A Issued in IN
Practice address
10 Cool Creek Cir
Carmel, IN 46033-9444
Phone
(317) 674-2535
NPI assigned
May 13, 2020
Last updated
May 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 28188197A IN Primary

Addresses

Primary practice location

10 Cool Creek Cir
Carmel, IN 46033-9444

Mailing address

10 Cool Creek Cir
Carmel, IN 46033-9444
Phone (317) 674-2535

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa_chubb@adultday.com Direct

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
28188197AINMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1629690516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COOL CREEK CIR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339444",
            "telephone_number": "317-674-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COOL CREEK CIR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339444",
            "telephone_number": "317-674-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUBB",
        "first_name": "LISA",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IN",
            "license": "28188197A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa_chubb@adultday.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10 Cool Creek Cir",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460339444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.