Individual provider Active NPI

Lisa J Luehman, FNP-BC, NP-C

  • Family Nurse Practitioner
  • Greenwich, CT
National Provider Identifier
1841653086
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6514 Issued in CT
Practice address
500 W Putnam Ave Ste 400
Greenwich, CT 06830-6096
Phone
(914) 296-9443
Fax
(914) 614-4139
NPI assigned
Apr 4, 2016
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 340360 NY
Family Nurse Practitioner 363LF0000X 6514 CT Primary

Addresses

Primary practice location

500 W Putnam Ave Ste 400
Greenwich, CT 06830-6096

Mailing address

PO Box 1142
New Rochelle, NY 10802-1142
Phone (914) 296-9443

Other practice location 1

2389 Main St Ste 100
Glastonbury, CT 06033-4617
Phone (914) 296-9443

Other identifiers 1

IdentifierTypeStateIssuer
04743151MedicaidNY

Other names 1

  • Lisa J Christopherson Former name

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 Jun 11, 2025 through Jun 11, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6514CTMDFamily Nurse Practitioner
340360NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lisa.luehman.1@26402.direct.athenahealth.com
  • Direct secure messaging: lisa.luehman@798158617837572.direct.elationemr.com
  • Direct secure messaging: lluehman@hiemail.healtheconnections.org

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1841653086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1142",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108021142",
            "telephone_number": "914-296-9443",
            "fax_number": "914-614-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W PUTNAM AVE STE 400",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306096",
            "telephone_number": "914-296-9443",
            "fax_number": "914-614-4139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2389 Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060334617",
            "country_code": "US",
            "telephone_number": "914-296-9443",
            "fax_number": "914-614-4139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUEHMAN",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340360",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04743151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CHRISTOPHERSON",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.