Individual provider Active NPI

Lisa Michelle Selby, NP

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1811599665
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1018714 Issued in TX
Practice address
1516 Lomaland Dr
El Paso, TX 79935-4202
Phone
(915) 593-2600
Fax
(915) 298-3998
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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 1018714 TX Primary

Addresses

Primary practice location

1516 Lomaland Dr
El Paso, TX 79935-4202

Mailing address

1516 Lomaland Dr
El Paso, TX 79935-4202
Phone (915) 593-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 5, 2024 through Apr 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1018714TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Academy of Diabetes, Thyroid and Endocrine, P.a. CurrentSince Nov 22, 2020 Accepting new patients
Pablo Casares MD PA PastSince Nov 22, 2020 Accepting new patients

Locations

1516 Lomaland Dr
El Paso, TX 79935
Phone (915) 593-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFDFDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1811599665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 LOMALAND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354202",
            "telephone_number": "915-593-2600",
            "fax_number": "915-298-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 LOMALAND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354202",
            "telephone_number": "915-593-2600",
            "fax_number": "915-298-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1018714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.