Lisa Ann Borunda, C-FNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

1939514405 Issued in UT

Practice address

295 S 1470 E Ste 300
Saint George, UT 84790-1762

Phone

(435) 674-0999

Fax

(435) 674-0960

NPI assigned

Jul 3, 2006

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 Ann Rondo Former name

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Utah School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St George OBGYN LLCGroup PAC ID 3173793841, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. George Regional Hospital Hospital, St George, UT, CCN 460021

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. George OBGYN LLC

  • Obstetrics & Gynecology Physician
  • Saint George, UT
  • NPI 1538452834
  Medicare reassignment Care Compare group NPD
• Valley Obstetrics and Gynecology, PC

  • Obstetrics & Gynecology Physician
  • St George, UT
  • NPI 1568478170
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1912937343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 300",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847901762",
            "telephone_number": "435-674-0999",
            "fax_number": "435-674-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 300",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847901762",
            "telephone_number": "435-674-0999",
            "fax_number": "435-674-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUNDA",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "UT",
            "license": "1939514405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RONDO",
            "middle_name": "ANN",
            "credential": "C-FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dane Arrell Boren, D.D.S.
• Leo Boren, LMT
• Noreen Ellen Borino, NP
• Ryan T Borrowman, NP-C
• Karla Borst
• Karson Borup
• Gary C Bosshardt, M.D.
• Suzanne Evans Bosteder
• Craig Boswell, LCSW
• Stacy Bott

• Obstetrics & Gynecology Nurse Practitioner in Saint George, UT
• Providers in Saint George, UT by specialty
• Obstetrics & Gynecology Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.