Active NPI
Lisa A. Spudic, MS, RN, FNP
- Family Nurse Practitioner
- Hammond, IN
National Provider Identifier
1649462797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71001360A
- Practice address
- 7134 Calumet Ave
Hammond, IN 46324-2406 - Phone
- (219) 931-4725
- Fax
- (219) 932-4028
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71001360A | IN | Primary |
Addresses
Primary practice location
7134 Calumet Ave
Hammond, IN 46324-2406
Mailing address
7134 Calumet Ave
Hammond, IN 46324-2406
Phone (219) 931-4725
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, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001360A | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1649462797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7134 CALUMET AVE",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463242406",
"telephone_number": "219-931-4725",
"fax_number": "219-932-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7134 CALUMET AVE",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463242406",
"telephone_number": "219-931-4725",
"fax_number": "219-932-4028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPUDIC",
"first_name": "LISA",
"middle_name": "A.",
"credential": "MS, RN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71001360A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, IN
- Southlake Community Mental Health Center, Inc (Regional Health Clinic)
- Southlake Community Mental Health Center, Inc. (Regional Community Health Center)
- Southlake Community Mental Health Center, Inc. (Regional Community Health Center- Homeless Site)
- Yolanda A Spencer, NP
- Frieda Lorraine Spoolstra, LMHC
- St Margaret Mercy Healthcare
- St Margaret Mercy Healthcare Centers (Hyperbaric Medicine)
- St Margaret Mercy Healthcare Centers (Douglas Park Medical Center)
- St Margaret Mercy Healthcare Centers (Urosurgery Clinic)
- St Margaret Mercy Healthcare Centers (Wound Healing & Prevention Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.