Lisa Nevara, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

097007189N1 Issued in OR

Practice address

425 E. 7TH Street
The Dalles, OR 97058-2607

Phone

(541) 296-4610

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Mo Mo Incorporated

  • Nursing Facility/Intermediate Care Facility
  • Umatilla, OR
  • NPI 1558443754
  NPD (past)
• Encore Wellness 4 Life LLC

  • Nurse Practitioner
  • Kennewick, WA
  • NPI 1821653106
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1841376324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 7TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582607",
            "telephone_number": "541-296-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E. 7TH STREET",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582607",
            "telephone_number": "541-296-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVARA",
        "first_name": "LISA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30005552",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "097007189N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9644626",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Neil, PHARMD
• Rachel Bond Nelson, RN
• Rebecca Nelson, FNP
• Sandy Nelson
• Johanna Clara Nesse, FNP
• Camdon M Newcomer
• John Worth Newman, RPH
• Holly Nichols, DMD
• Lacey A Nichols, LCSW
• Kristen Elise Nicolescu, PA-C

• Family Nurse Practitioner in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.