Lisa 'lee' Ann Vivanco is a Renton, Washington based nurse practitioner with 7 years of experience in Psych/Mental Health. She completed her graduation in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa 'lee' Ann Vivanco is AP60865969 for Psych/Mental Health in Washington. Her current practice location is 400 S 43rd St, Renton. Patients can reach her at 425-228-3440 or can fax her at 425-656-4214. Lisa 'lee' Ann Vivanco is DNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1871088427. Lisa 'lee' Ann Vivanco provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Lisa 'lee' Ann Vivanco speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9537410279
Enrollment ID:
I20180919003550
NPI Number:
1871088427
NPI Enumeration Date:
26 Jun, 2018
NPI Last Update On:
14 Jul, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa 'lee' Ann Vivanco are as mentioned below.
License Number
Specialization
State
Status
AP60865969
Psych/Mental Health
Washington
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(500088)
Renton, WA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lisa 'lee' Ann Vivanco is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Valley Medical Group-renton (4183753965)
406
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa 'lee' Ann Vivanco such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2104819
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lisa 'lee' Ann Vivanco 3600 Lind Ave Sw, Suite 100 Attn Credentialing Renton, Washington
Zip:
98057-4970
Patients can reach Lisa 'lee' Ann Vivanco at 400 S 43rd St, Renton, Washington or can call to book an appointment on 425-228-3440.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.