Active NPI
Lisa Ann Tighue, CPNP
- Pediatric Nurse Practitioner
- Moorestown, NJ
National Provider Identifier
1891118022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26NJ00481800
- Practice address
- 212 West Route 38
Suite 400
Moorestown, NJ 08057-3259 - Phone
- (856) 235-0264
- Fax
- (856) 235-4635
- NPI assigned
- Jan 23, 2014
- Last updated
- Jan 23, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ00481800 | NJ | Primary |
Addresses
Primary practice location
212 West Route 38
Suite 400
Moorestown, NJ 08057-3259
Mailing address
PO Box 3001
Voorhees, NJ 08043-0598
Phone (856) 782-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140410000023 | NJ | Order and Referring Only - Nurse Practitioner | 3779715594 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare , LLC | Past | Accepting new patients |
Interoperability endpoints
- lisa.tighue@advocaredoctors.eclinicaldirectplus.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.
-
dba Advocare Heritage Family Medicine
- Family Medicine Physician
- Moorestown, NJ
- NPI 1053589515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1891118022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3001",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080430598",
"telephone_number": "856-782-3300",
"fax_number": "856-504-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 WEST ROUTE 38",
"address_2": "SUITE 400",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573259",
"telephone_number": "856-235-0264",
"fax_number": "856-235-4635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIGHUE",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-23",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NJ00481800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
- Therapeutic Alternatives (Community Treatment Solutions)
- Ellen R Thomas, D.C.
- Colleen Herten Thornton, CRNP
- Thrift Drug Inc (Rite Aid Pharmacy 10454)
- Jennifer Joan Tiernan-Palermo, FNP-BC
- Victoria Anne Tiley, PT, DPT
- Timeless Anti-Aging
- Bruce L Tjaden Jr., MD
- TLC Homecareservices, LLC
- Candice Bernice Tolud, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.