Active NPI
Lisa Drey, CNS
- Clinical Nurse Specialist
- Highlands Ranch, CO
National Provider Identifier
1790818243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 72783
- Practice address
- 8671 S Quebec St
Ste 200
Highlands Ranch, CO 80130-5859 - Phone
- (888) 852-6672
- Fax
- (305) 891-4228
- NPI assigned
- Mar 13, 2007
- Last updated
- Sep 13, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 72783 | CO | |
| Clinical Nurse Specialist | 364S00000X | 72783 | CO | Primary |
Addresses
Primary practice location
8671 S Quebec St
Ste 200
Highlands Ranch, CO 80130-5859
Mailing address
1065 NE 125TH St
Suite 409
North Miami, FL 33161-5821
Phone (888) 852-6672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26627311 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72783 | CO | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1790818243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 NE 125TH ST",
"address_2": "SUITE 409",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615821",
"telephone_number": "888-852-6672",
"fax_number": "305-891-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8671 S QUEBEC ST",
"address_2": "STE 200",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801305859",
"telephone_number": "888-852-6672",
"fax_number": "305-891-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREY",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "72783",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "CO",
"license": "72783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26627311",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
- Dr. Behrod Khankhanian DMD, a Dental Corporation
- Dr. Brandon Krainik, LLC
- Dr.Sarira Martin,D.D.S,PC
- Bradley K Draper, MD
- Dreamsafely LLC
- Matthew Driscoll, PT
- Dry Creek Surgery Center, LLC (Surgery Center of Highlands Ranch)
- Keith Daniel Dubois, BSPT
- Kiersten Michelle Duffy, PA-C
- Elizabeth Ann Dunkleberger, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.