LISABETH PARADISE FNP-C NPI 1588732606

NPI Information

NPI: 1588732606
Provider Name: LISABETH PARADISE, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: POUDRE VALLEY MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
1024 S LEMAY AVE
PVH PALLIATIVE CARE
FORT COLLINS, CO
ZIP 80524
Phone: (970) 495-8362
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Lisabeth Paradise, FNP-C is a family nurse practitioner in Fort Collins, CO with 18 years of experience. Lisabeth Paradise, FNP-C NPI is 1588732606. 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:

1024 S LEMAY AVE
PVH PALLIATIVE CARE
FORT COLLINS, CO
ZIP 80524
Phone: (970) 495-8362

The NPI 1588732606 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 3/23/2016.

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
1	363LF0000X	Nurse Practitioner	Family	923	ALASKA	No
2	363LF0000X	Nurse Practitioner	Family	APN.0990692-NP	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	NP7861	MEDICAID	ALASKA
2	73789852	MEDICAID	COLORADO
3	328952YQXK	MEDICARE PIN	COLORADO

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: 11/14/2023

NPI Synchronization or Removal

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