Active NPI
Lisa Rader
- Nurse Practitioner
- Santa Barbara, CA
National Provider Identifier
1720133739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 409223
- Practice address
- 5370 Hollister Ave Ste B
Santa Barbara, CA 93111-2396 - Phone
- (805) 696-9600
- Fax
- (805) 696-9000
- NPI assigned
- Jan 23, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 409223 | CA | Primary |
Addresses
Primary practice location
5370 Hollister Ave Ste B
Santa Barbara, CA 93111-2396
Mailing address
PO Box 50706
Santa Barbara, CA 93150-0706
Phone (805) 963-3336
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 409223 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720133739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50706",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931500706",
"telephone_number": "805-963-3336",
"fax_number": "805-564-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5370 HOLLISTER AVE STE B",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931112396",
"telephone_number": "805-696-9600",
"fax_number": "805-696-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADER",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "409223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.