NPIMap

Individual provider Active NPI

Lisa M Killips, NP

  • Family Nurse Practitioner
  • Westfield, MA
National Provider Identifier
1831123793
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
187547 Issued in MA
Practice address
20 Castle Hill Rd
Westfield, MA 01085-4137
Phone
(413) 237-0332
Fax
(413) 216-2939
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2355 CT
Family Nurse Practitioner 363LF0000X 187547 MA Primary

Addresses

Primary practice location

20 Castle Hill Rd
Westfield, MA 01085-4137

Mailing address

20 Castle Hill Rd
Westfield, MA 01085-4137
Phone (413) 237-0332

Other identifiers 1

IdentifierTypeStateIssuer
187547OtherMAMA BORM LICENSE NUMBER

Other names 1

  • Lisa M Diamond Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220329001474 CT Practitioner - Nurse Practitioner 0749189231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
WCT Behavioral Health and Medication Management PLLCGroup PAC ID 8820480734, 30 clinicians

Practice addresses (Care Compare)

211 Schraffts Dr
Lowr Level
Waterbury, CT 06705-3222
Phone (203) 518-8218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002355CTMDProfessional Counselor
187547MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WCT Behavioral Health & Medication Management PLLC Family CurrentSince Mar 22, 2022 Accepting new patients
Primary Care Associates LLC Past Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients
Mwa, PC Past Accepting new patients
Geriatric Medical Associates PC PastSince Oct 22, 2003 Accepting new patients
Hampden County Physician Associates, LLC. Past Accepting new patients
Baystate Medical Practices, Inc Past Accepting new patients
Hampden County Physician Associates, LLC Past Accepting new patients
Pioneer Valley Cardiology, P.C. Past Accepting new patients
Lisa Killips Consultation Services Family PastSince Mar 27, 2022 Accepting new patients

Locations

211 Schraffts Dr
Lowr
Waterbury, CT 06705
Phone (203) 518-8218

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4342/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1831123793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CASTLE HILL RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854137",
            "telephone_number": "413-237-0332",
            "fax_number": "413-216-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CASTLE HILL RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854137",
            "telephone_number": "413-237-0332",
            "fax_number": "413-216-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIPS",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "2355",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "187547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA BORM LICENSE NUMBER",
            "identifier": "187547",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DIAMOND",
            "middle_name": "M",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.