Active NPI
Lisabeth Stolp
- Family Nurse Practitioner
- Longview, WA
National Provider Identifier
1962270330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61513350
- Practice address
- 1057 12TH Ave
Longview, WA 98632-2509 - Phone
- (360) 636-3892
- Fax
- (360) 414-1342
- NPI assigned
- Dec 15, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Longview, WA
- NPI 1891724506
WA
-
- Federally Qualified Health Center (FQHC)
- Woodland, WA
- NPI 1053472993
-
- Federally Qualified Health Center (FQHC)
- Longview, WA
- NPI 1609524164
-
- Federally Qualified Health Center (FQHC)
- Kelso, WA
- NPI 1366790008
-
- Federally Qualified Health Center (FQHC)
- Cathlamet, WA
- NPI 1538497417
-
- Federally Qualified Health Center (FQHC)
- Castle Rock, WA
- NPI 1801266481
-
- Federally Qualified Health Center (FQHC)
- Ocean Park, WA
- NPI 1891856142
-
- Federally Qualified Health Center (FQHC)
- Longview, WA
- NPI 1962876748
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Cowlitz Family Health Center
Practice addresses (Care Compare)
1057 12TH Ave
Longview, WA 98632-2509
Phone (360) 636-3892
Hospital & facility affiliations
- Peacehealth St John Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20240320001148 | WA | Practitioner - Nurse Practitioner | 8325485840 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cowlitz Family Health Center | Current | Accepting new patients | |
| Cowlitz Family Health Center | Current | Accepting new patients | |
| Cowlitz Family Health Center | Current | Accepting new patients |
Locations
1057 12th Ave
Longview, WA 98632
Phone (360) 636-3892
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61513350 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1057 12TH Ave
Longview, WA 98632-2509
Mailing address
1057 12TH Ave
Longview, WA 98632-2509
Phone (360) 636-3892
Other names 1
NPPES NPI Registry- Lisabeth Suarez
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 15, 2023.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1962270330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 12TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322509",
"telephone_number": "360-636-3892",
"fax_number": "360-414-1342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 12TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322509",
"telephone_number": "360-636-3892",
"fax_number": "360-414-1342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLP",
"first_name": "LISABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-15",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61513350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISABETH",
"last_name": "SUAREZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.