Individual provider Active NPI

Lisa R Hughes, PNP

  • Pediatric Nurse Practitioner
  • West Hollywood, CA
National Provider Identifier
1740617174
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
23629 Issued in CA
Practice address
8733 Beverly Blvd
Suite 200
West Hollywood, CA 90048-1827
Phone
(310) 652-3981
Fax
(310) 652-3906
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 23629 CA Primary

Addresses

Primary practice location

8733 Beverly Blvd
Suite 200
West Hollywood, CA 90048-1827

Mailing address

3501 Bellevue Ave
Apt 3
Los Angeles, CA 90026-3504
Phone (908) 489-2112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212000510 NY Practitioner - Nurse Practitioner 2163871401 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 2, 2024 Accepting new patients
New York University CurrentSince Jan 2, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1740617174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 BELLEVUE AVE",
            "address_2": "APT 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263504",
            "telephone_number": "908-489-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "address_2": "SUITE 200",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481827",
            "telephone_number": "310-652-3981",
            "fax_number": "310-652-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "23629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.