LISA JACK
NPI 1053041830
Specialist in Wichita, KS

Q: What is Lisa Jack's NPI number?

The NPI number for Lisa Jack is 1053041830. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Q: What is Lisa Jack's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jack was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2022

8625 E 37TH ST N STE 101, WICHITA, KS 67226(316) 648-8545 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Lisa Jack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA JACK (NPI 1053041830) is an individual specialist in Wichita, Kansas and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1053041830

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameLISA JACK

Location Address8625 E 37TH ST N STE 101Wichita, KS 67226-2008

Mailing Address5709 E 17th St NWichita, KS 67208-1703 · (316) 648-8545

Phone(316) 648-8545

Sole ProprietorNo

Enumeration DateJune 14, 2022

NPPES CertifiedJune 14, 2022

✔ NPI 1053041830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8625 E 37TH ST N STE 101, Wichita, KS 67226

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Jack's NPI number?

The NPI number for Lisa Jack is 1053041830. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Lisa Jack located?

Lisa Jack practices at 8625 E 37th St N Ste 101, Wichita, KS 67226. The listed phone number is (316) 648-8545.

What is Lisa Jack's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Jack was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.