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MRS. LISA ANN SMITH MSN, RN, AGCNS, NP-C
NPI 1396303905
Nurse Practitioner in Fort Wayne, IN

Active since May 30, 2019
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 415-6175 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Lisa Ann Smith Msn, Rn, Agcns, Np-c NPPES

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

MRS. LISA ANN SMITH MSN, RN, AGCNS, NP-C (NPI 1396303905) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (AG05180066) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1396303905
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LISA ANN SMITHCredential: MSN, RN, AGCNS, NP-C
Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address1580 Vintners WayFort Wayne, IN 46845-8798 · (260) 415-6175
Phone(260) 415-6175
Sole ProprietorNo
Enumeration DateMay 30, 2019
✔ NPI 1396303905 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 IN · AG05180066
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.
11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845
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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.

AHMAD ALHARIRI MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-2020
DR. DANYELLE R ABER M.D.
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
AMY SOUERS M.D.
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
ANDY ALVAREZ HERRERA MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6620
CORISSA PIATKA
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
MRS. CHRISTINA KAY FORD PHARMD
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-4400
SYDNEY NICHOLE RANZAU
Specialist/Technologist (Athletic Trainer)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
HINA WAZIR MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6620

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's NPI number?

The NPI number for Lisa Smith is 1396303905. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Lisa Smith located?

Lisa Smith practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 415-6175.

What is Lisa Smith's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Smith was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.