Individual provider Active NPI

Lisa A Duran, ARNP

  • Family Nurse Practitioner
  • Lakewood, WA
National Provider Identifier
1740824960
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61013195 Issued in WA
Practice address
9537 Gravelly Lake Dr SW
Lakewood, WA 98499-1513
Phone
(253) 984-2000
Fax
(253) 984-2049
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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 AP61013195 WA Primary

Addresses

Primary practice location

9537 Gravelly Lake Dr SW
Lakewood, WA 98499-1513

Mailing address

2117 27TH PL SE
Puyallup, WA 98372-5145
Phone (253) 365-1822

Other identifiers 1

IdentifierTypeStateIssuer
2156372MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lduran718688@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200427002696 WA Practitioner - Nurse Practitioner 5698105005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

9537 Gravelly Lake Dr SW
Lakewood, WA 98499-1513
Phone (253) 984-2000

Hospital & facility affiliations

  • Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141
  • St Clare Hospital Hospital, Lakewood, WA, CCN 500021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61013195WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Apr 1, 2020 Accepting new patients
Multicare Health System CurrentSince Apr 1, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Franciscan Medical Group CurrentSince Nov 1, 2021 Accepting new patients
Franciscan Medical Group CurrentSince Nov 1, 2021 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

21 NE Romance Hill Rd
Ste 105
Belfair, WA 98528
Phone (360) 277-2950

9230 Sky Island Dr E
Bonney Lake, WA 98391
Phone (253) 750-6000

16045 1st Ave S
Fl 1
Burien, WA 98148
Phone (206) 965-4100

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

4700 Point Fosdick Dr
Ste 102
Gig Harbor, WA 98335
Phone (206) 858-3200

11307 Bridgeport Way SW
Ste 200
Lakewood, WA 98499
Phone (253) 985-6688

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

450 S Kitsap Blvd
Ste 100
Port Orchard, WA 98366
Phone (360) 744-6275

12005 Meridian E
#101
Puyallup, WA 98373
Phone (253) 215-1095

2930 S Meridian
Ste 200
Puyallup, WA 98373
Phone (253) 445-7600

15214 Canyon Rd E
Ste 120
Puyallup, WA 98375
Phone (253) 539-4200

1344 Wintergreen Ln NE
Unit 100
Seattle, WA 98110
Phone (206) 201-0488

4550 Fauntleroy Way SW
Ste 200
Seattle, WA 98126
Phone (206) 933-1041

9537 Gravelly Lake Dr SW
Tacoma, WA 98499
Phone (253) 984-2000

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

3556 Market Pl W
Ste 109
University Place, WA 98466
Phone (253) 215-1095

Interoperability endpoints

  • Direct secure messaging: lduran718688@fhsce.catholichealth.net

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1740824960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 27TH PL SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983725145",
            "telephone_number": "253-365-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9537 GRAVELLY LAKE DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991513",
            "telephone_number": "253-984-2000",
            "fax_number": "253-984-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61013195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2156372",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lduran718688@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9537 Gravelly Lake Dr SW",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984991513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.