Active NPI
Lisa Lynne Stolfus, NP
- Nurse Practitioner
- Fresno, CA
National Provider Identifier
1861732364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP23050
- Practice address
- 2823 Fresno St
Fresno, CA 93721-1324 - Phone
- (559) 499-6493
- Fax
- (559) 499-6501
- NPI assigned
- Feb 20, 2013
- Last updated
- Nov 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP20120167 | TX | |
| Nurse Practitioner | 363L00000X | NP23050 | CA | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | NP20120167 | TX | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | NP23050 | CA | |
| Registered Nurse | 163W00000X | RN503923 | CA |
Addresses
Primary practice location
2823 Fresno St
Fresno, CA 93721-1324
Mailing address
4910 E Clinton Way
Suite 101
Fresno, CA 93727-1560
Phone (559) 443-2682
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23050 | CA | MD | Chiropractor |
| RN503923 | CA | MD | Registered Nurse |
| NP20120167 | TX | MD | Nurse Practitioner |
| NP23050 | CA | MD | Critical Care Medicine Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central California Faculty Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- lisa.stolfus.p1@direct.cmcentersinc.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Clovis, CA
- NPI 1992742852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1861732364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 E CLINTON WAY",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937271560",
"telephone_number": "559-443-2682",
"fax_number": "559-443-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2823 FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211324",
"telephone_number": "559-499-6493",
"fax_number": "559-499-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLFUS",
"first_name": "LISA",
"middle_name": "LYNNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-20",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "NP20120167",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP23050",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "NP20120167",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "CA",
"license": "NP23050",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN503923",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.