Lisa Ann Rose, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28142429A Issued in IN

Practice address

5514 Hohman Ave
Hammond, IN 46320-1933

Phone

(219) 933-2018

Fax

(219) 933-2647

NPI assigned

Nov 30, 2009

Last updated

Apr 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Franciscan St. Margaret Health

  • Clinic/Center
  • Hammond, IN
  • NPI 1275911836
  NPD (past)
• Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky

  • Non-Surgical Family Planning Clinic/Center
  • Honolulu, HI
  • NPI 1558424473
  NPD (past)

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1649508714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201933",
            "telephone_number": "219-933-2018",
            "fax_number": "219-933-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201933",
            "telephone_number": "219-933-2018",
            "fax_number": "219-933-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28142429A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008102",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041279040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matteara Robinson
• Chisa Ann Roby, ASSOCIATE LICENSE
• Jean M Roche, CRNA
• Ronald Fary PC
• Yolanda Rosales, MD
• Rosenberg Family Practice
• Rush-Select Holdings, LLC (RUSH Physical Therapy)
• Tyrone Rutherford Jr.
• S & S Medical Support
• Saint Margaret Mercy Dialysis Centers, LLC (St. Margaret Mercy Health Care)

• Family Nurse Practitioner in Hammond, IN
• Providers in Hammond, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.