Active NPI
Dana Marie Lisenbey, ARNP
- Family Nurse Practitioner
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60439682
- Practice address
- 888 Swift Blvd
Richland, WA 99352-3514 - Phone
- (509) 942-2159
- Fax
- (509) 942-2757
- NPI assigned
- Feb 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60439682 | WA | Primary |
Addresses
Primary practice location
888 Swift Blvd
Richland, WA 99352-3514
Mailing address
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 942-2159
Other names 1
- Dana Marie Bafus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140512001307 | WA | Practitioner - Nurse Practitioner | 0941433270 | Reassigns benefits to 4 organizations |
| I20151221000029 | ID | Practitioner - Nurse Practitioner | 0941433270 | |
| I20230831003483 | OR | Practitioner - Nurse Practitioner | 0941433270 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60439682 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| Lourdes Hospital LLC | Current | Accepting new patients | |
| Northwest Physician Associates PC | Current | Accepting new patients | |
| Sunnyside Emergency Group a Professional LLC | Current | Accepting new patients | |
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Lourdes Hospital LLC | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338
600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
3290 W 19th Ave
Kennewick, WA 99337
Phone (509) 942-2485
520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140
1200 N 14th Ave
Pasco, WA 99301
Phone (509) 547-7536
7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1175 Carondelet Dr
Richland, WA 99354
Phone (509) 943-9104
1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682
Interoperability endpoints
- dlisenbey28970@direct.slhs.org
- dlisenbey1456601@direct.lhs.org
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Sunnyside, WA
- NPI 1033529367
WA
-
- Pediatrics Physician
- Hermiston, OR
- NPI 1336198159
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Psychiatric Hospital
- Richland, WA
- NPI 1548342181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1780007260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 SWIFT BLVD",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523514",
"telephone_number": "509-942-2159",
"fax_number": "509-942-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 SWIFT BLVD",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523514",
"telephone_number": "509-942-2159",
"fax_number": "509-942-2757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISENBEY",
"first_name": "DANA",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-04",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60439682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "BAFUS",
"middle_name": "MARIE",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.