Lisa M Cordek, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP012521 Issued in PA

Practice address

323 Budfield St
Johnstown, PA 15904-3213

Phone

(814) 262-9500

Fax

(814) 266-9142

NPI assigned

Nov 9, 2012

Last updated

Sep 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

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.

• Lifeline Medical Center

  • Family Medicine Physician
  • Anderson, IN
  • NPI 1265160451

  PA

  Medicare reassignment NPD
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1760736961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043213",
            "telephone_number": "814-262-9500",
            "fax_number": "814-266-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043213",
            "telephone_number": "814-262-9500",
            "fax_number": "814-266-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDEK",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP012521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert R Cooney, MD
• Jerrica L Cooper
• Jesse Cooper
• Sharon F Cooper, LPC
• Heather Corcelle
• W Theodore Corey, MD
• Michelle Lee Corle, CRNP
• Stacey Lynn Cornelius, LPN
• Jon David Cornell
• Corner Drug Store Inc

• Nurse Practitioner in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.