Lisa Baba, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP8214 Issued in AZ

Practice address

21300 N. John Wayne Pkwy
#112
Maricopa, AZ 85139

Phone

(520) 568-9500

Fax

(520) 568-9533

NPI assigned

Oct 12, 2015

Last updated

Sep 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rodd Aking MD LLC

  dba Trinity Integrated Medicine

  • Internal Medicine Physician
  • Avondale, AZ
  • NPI 1265249767
  NPD (past)
• Rodd Aking MD LLC

  dba Trinity Integrated Medicine

  • Internal Medicine Physician
  • Avondale, AZ
  • NPI 1942212345
  NPD (past)
• Sultan Y Ayoub FNP PLLC

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1306288766
  NPD (past)

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1881065266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 N. JOHN WAYNE PKWY",
            "address_2": "#112",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "85139",
            "telephone_number": "520-568-9500",
            "fax_number": "520-568-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 N. JOHN WAYNE PKWY",
            "address_2": "#112",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "85139",
            "telephone_number": "520-568-9500",
            "fax_number": "520-568-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABA",
        "first_name": "LISA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Az Dermatology
• Az Desert Bloom Therapy
• Az Specialty Dental Services, LLC (Treasured Smiles Children's Dentistry)
• Az-Tech Radiology & Open MRI
• Az. Spine & Acupuncture Center LLC
• Marla Baker
• Thomas Balaskas, RPH
• Sherisa Mae Banks, RN
• Banner - University Physician Specialists LLC
• Banner Primary Care Physicians Arizona LLC

• Family Nurse Practitioner in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.