LISA A. TABENKEN NP
NPI 1124018387
Nurse Practitioner in Portland, ME

Q: What is Lisa Tabenken's NPI number?

The NPI number for Lisa Tabenken is 1124018387. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Q: What is Lisa Tabenken's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Tabenken was last updated on October 21, 2021. 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 October 27, 2005

33 SEWALL ST, PORTLAND, ME 04102(207) 828-2100 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2021, Nov 11, 2015 (2 updates tracked since 2015).

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About Lisa A. Tabenken Np NPPES

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

LISA A. TABENKEN NP (NPI 1124018387) is an individual nurse practitioner in Portland, Maine, licensed in Maine (CNP81696) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1124018387

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA A. TABENKENCredential: NP

Location Address33 SEWALL STPortland, ME 04102-2603

Mailing Address324 Gannett Dr Ste 200South Portland, ME 04106-3266 · (207) 482-7800

Phone(207) 828-2100

Sole ProprietorNo

Enumeration DateOctober 27, 2005

Last NPPES UpdateOctober 21, 20212 updates tracked since enumeration

NPPES CertifiedOctober 21, 2021

✔ NPI 1124018387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ME · CNP81696

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

33 SEWALL ST, Portland, ME 04102

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Other Identifiers 1

Medicaid1124018387ME

Other Providers at the Same Location NPPES 20

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

TERYN CLARK HANRAHAN ATC

Specialist/Technologist (Athletic Trainer)