Individual provider Active NPI

Lisa Wright, NP

  • Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1750581591
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP366852 Issued in CA
Practice address
112 La Casa Via
Ste 135
Walnut Creek, CA 94598-3091
Phone
(925) 930-8200
NPI assigned
Jul 19, 2007
Last updated
Jul 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP366852 CA Primary

Addresses

Primary practice location

112 La Casa Via
Ste 135
Walnut Creek, CA 94598-3091

Mailing address

224 Las Lomas Way
Walnut Creek, CA 94598-4225

Other identifiers 1

IdentifierTypeStateIssuer
NP366852OtherCASTATE LICENSE #

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
I20140613000714 CA Practitioner - Nurse Practitioner 0941424956 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17111CAMDSpeech-Language Pathologist
NP366852CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Beginnings CurrentSince Jun 3, 2022 Accepting new patients
Brighter Beginnings CurrentSince Jun 3, 2022 Accepting new patients

Locations

3505 Lone Tree Way
Ste 1
Antioch, CA 94509
Phone (925) 303-4780

2727 Macdonald Ave
Richmond, CA 94804
Phone (510) 213-6681

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, 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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1750581591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 LAS LOMAS WAY",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA",
            "address_2": "STE 135",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983091",
            "telephone_number": "925-930-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP366852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "NP366852",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.