LISA MIX RN CCM NPI 1427703578

NPI Information

  • NPI: 1427703578
  • Provider Name: LISA MIX, RN CCM
  • Classification: Registered Nurse - 163WC0400X
  • Specialization: Case Management
  • Entity Type: Individual
  • Address: 55 454TH BLVD
    HARRIS, MN
    ZIP 55032
  • Phone: (651) 334-5671

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NPI Details

Lisa Mix, RN CCM is a case management registered nurse in Harris, MN. Lisa Mix, RN CCM NPI is 1427703578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 454TH BLVD
HARRIS, MN
ZIP 55032-000
Phone: (651) 334-5671

The enumeration date for this NPI number is 2/17/2022 and was last updated on 2/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0400XRegistered NurseCase Management4241198MINNESOTANo
2163WC0400XRegistered NurseCase Management221730-30WISCONSINNo
3163WC0400XRegistered NurseCase ManagementR141093-2MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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