Individual provider Active NPI

Lisa M Teevan, NP

  • Family Nurse Practitioner
  • Simi Valley, CA
National Provider Identifier
1720952880
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95037271 Issued in CA
Practice address
2139 Tapo St Ste 210
Simi Valley, CA 93063-3476
Phone
(805) 584-3000
NPI assigned
Oct 1, 2025
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95037271 CA Primary

Addresses

Primary practice location

2139 Tapo St Ste 210
Simi Valley, CA 93063-3476

Mailing address

2139 Tapo St Ste 210
Simi Valley, CA 93063-3476
Phone (805) 584-3000

Other practice location 1

300 Hillmont Ave Bldg 340 Ste 501
Ventura, CA 93003
Phone (805) 652-6218

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.teevan@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105000402 CA Practitioner - Nurse Practitioner 8729574330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1885 FM
2673 Unit 146
Canyon Lake, TX 78133

5540 W 5TH St
SPC 150
Oxnard, CA 93035-3857

5855 Olivas Park Dr
Ventura, CA 93003-7672

5885 Allison St
Suite 1003
Arvada, CO 80001-2644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95037271CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dietz Regenerative Health Corporation CurrentSince Nov 26, 2025 Accepting new patients
Summit Home Health, Inc PastSince Oct 5, 2025 Accepting new patients

Locations

1363 Donlon St
Ste 17
Ventura, CA 93003
Phone (805) 760-5005

3717 Telegraph Rd
Ventura, CA 93003
Phone (805) 586-2068

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1720952880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633476",
            "telephone_number": "805-584-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633476",
            "telephone_number": "805-584-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hillmont Ave Bldg 340 Ste 501",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "93003",
            "country_code": "US",
            "telephone_number": "805-652-6218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEEVAN",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95037271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.teevan@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "300 Hillmont Ave Bldg 340 Ste 501",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "93003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.