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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA SMITH-NOWAK RN
NPI 1083482442
Registered Nurse - Addiction (Substance Use Disorder) in Kenosha, WI

Active since December 15, 2023
3825 39TH AVE STE 120, KENOSHA, WI 53144(262) 946-5752(262) 946-5765 Get Directions Write a Review

NPPES record last updated: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2026, Dec 15, 2023 (2 updates tracked since 2023).

About Lisa Smith-nowak Rn NPPES

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

LISA SMITH-NOWAK RN (NPI 1083482442) is an individual addiction (substance use disorder) provider in Kenosha, Wisconsin, licensed in Wisconsin (201206) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1083482442
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameLISA SMITH-NOWAKCredential: RN
Location Address3825 39TH AVE STE 120Kenosha, WI 53144-2043
Mailing Address3825 39th Ave Ste 120Kenosha, WI 53144-2043 · (262) 946-5752 · Fax (262) 946-5765
Phone(262) 946-5752
Fax(262) 946-5765
Sole ProprietorNo
Enumeration DateDecember 15, 2023
Last NPPES UpdateNovember 6, 20262 updates tracked since enumeration
NPPES CertifiedNovember 6, 2026
✔ NPI 1083482442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in WI · 201206
3825 39TH AVE STE 120, Kenosha, WI 53144
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALLIE COLWELL RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (629) 465-7522
XOCHITL JAMINET RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
LEIGH WOLTERS RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
STACEY WALLACE RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
LAKIA FLOWERS SAC-IT
Counselor (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
ANGELA WILKINSON RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
CONNIE KORNMAN RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
MARY PETTIT RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752

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 Smith-nowak's NPI number?

The NPI number for Lisa Smith-nowak is 1083482442. It was assigned to this individual provider in the NPPES registry on December 15, 2023.

Where is Lisa Smith-nowak located?

Lisa Smith-nowak practices at 3825 39th Ave Ste 120, Kenosha, WI 53144. The listed phone number is (262) 946-5752.

What is Lisa Smith-nowak's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Lisa Smith-nowak was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.