Lisa La Donna Stoddart, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21275 Issued in CA

Practice address

678 N Wilson Way
Ste G
Stockton, CA 95205-4272

Phone

(209) 466-2081

Fax

(209) 466-2083

NPI assigned

Oct 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Morrison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1902181696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-795-3619",
            "fax_number": "408-287-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 N WILSON WAY",
            "address_2": "STE G",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054272",
            "telephone_number": "209-466-2081",
            "fax_number": "209-466-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDART",
        "first_name": "LISA",
        "middle_name": "LA DONNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MORRISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stockton Unified School District
• Stockton Urgent Care Medical Clinic Inc
• Nancy J Stockton, CMT
• Stocktonians Taking Action to Neutralize Drugs
• Lydia M Stoddard, RADT
• Ayanna Aijanee Stoeckl
• Vicki Stokes, LCSW
• Maia Stolarik
• Lani Bain Stoner, LMFT
• William Carl Stoner III, L.C.S.W.

• Family Nurse Practitioner in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.