Active NPI
Lisa Varnado
- Nurse Practitioner
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 28200039A
- Practice address
- 3500 Franciscan Way Ste 400
Michigan City, IN 46360-0021 - Phone
- (219) 878-8200
- Fax
- (219) 879-8331
- NPI assigned
- Mar 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28200039A | IN | Primary |
Addresses
Primary practice location
3500 Franciscan Way Ste 400
Michigan City, IN 46360-0021
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
8300 Broadway Ste D
Merrillville, IN 46410-8602
Phone (219) 750-9497
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lvarnado515469@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28200039A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Health Centers, Inc. | Current | Accepting new patients | |
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Past | Accepting new patients | |
| Housecall Doctors PC | Nurse Practitioner | Past | Accepting new patients |
Locations
801 Broadway
Chesterton, IN 46304
Phone (219) 764-5311
310 W 112th Ave
Crown Point, IN 46307
Phone (219) 763-8113
200 3rd Ct SE
Demotte, IN 46310
Phone (219) 987-2641
2200 Richard Gordon Hatcher Blvd
Gary, IN 46404
1828 165th St
Ste A
Hammond, IN 46320
Phone (219) 764-5349
2490 Central Ave
Lake Station, IN 46405
508 Legacy Plz W
Laporte, IN 46350
Phone (219) 575-6244
6091 Broadway
Merrillville, IN 46410
Phone (219) 763-8113
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
Interoperability endpoints
- lisa.varnado.p1@direct.northshorehealth.nextgenshare.com
- lvarnado515469@direct.franciscanalliance.org
Organizations & group practices 5
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)
- Merrillville, IN
- NPI 1114257300
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
- Federally Qualified Health Center (FQHC)
- Gary, IN
- NPI 1932976495
-
- Federally Qualified Health Center (FQHC)
- Lake Station, IN
- NPI 1356530505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1972005809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 FRANCISCAN WAY STE 400",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463600021",
"telephone_number": "219-878-8200",
"fax_number": "219-879-8331"
}
],
"practiceLocations": [
{
"address_1": "8300 Broadway Ste D",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464108602",
"country_code": "US",
"telephone_number": "219-750-9497",
"fax_number": "219-359-3181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARNADO",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-07",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28200039A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lvarnado515469@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3500 Franciscan Way Ste 400",
"city": "Michigan City",
"state": "IN",
"country_code": "US",
"postal_code": "463600021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.