Individual provider Active NPI

Lisette Rodriguez Morales

  • Gerontology Nurse Practitioner
  • Lebanon, PA
National Provider Identifier
1932036480
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP035744 Issued in PA
Practice address
720 Norman Dr
Lebanon, PA 17042-7481
Phone
(717) 639-2969
Fax
(717) 270-6615
NPI assigned
May 7, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X SP035744 PA Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X SP035744 PA

Addresses

Primary practice location

720 Norman Dr
Lebanon, PA 17042-7481

Mailing address

435 Amesbury Rd
Lancaster, PA 17601-3532
Phone (717) 826-1024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

601 Memory LN
York, PA 17402-2206

601 Memory LN
601 Memory Lane
York, PA 17402-2231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP035744PAMDGeriatric Medicine (Family Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1932036480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 AMESBURY RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013532",
            "telephone_number": "717-826-1024",
            "fax_number": "717-826-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427481",
            "telephone_number": "717-639-2969",
            "fax_number": "717-270-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MORALES",
        "first_name": "LISETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP035744",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "SP035744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.