Individual provider Active NPI

Lisa Ann Nolan, CRNP

  • Adult Health Nurse Practitioner
  • New Holland, PA
National Provider Identifier
1841776127
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP018775 Issued in PA
Practice address
584 Springville Rd
New Holland, PA 17557
Phone
(717) 354-4711
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP018775 PA Primary

Addresses

Primary practice location

584 Springville Rd
New Holland, PA 17557

Mailing address

584 Springville Rd
New Holland, PA 17557-9564
Phone (717) 354-7711

Other practice location 1

584 Springville Rd
New Holland, PA 17557
Phone (717) 354-4711 ext. 117

Other identifiers 1

IdentifierTypeStateIssuer
1841776127MedicaidPA

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
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lnolan164726@wellspan.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1841776127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 SPRINGVILLE RD",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175579564",
            "telephone_number": "717-354-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 SPRINGVILLE RD",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "17557",
            "telephone_number": "717-354-4711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 Springville Rd",
            "address_purpose": "LOCATION",
            "city": "New Holland",
            "state": "PA",
            "postal_code": "17557",
            "country_code": "US",
            "telephone_number": "717-354-4711 x117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP018775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841776127",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Holland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.