Provider Demographics
NPI:1144468430
Name:KARR, LISA D (NP-C)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:D
Last Name:KARR
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:OURADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9214 S AVENUE 41 E # 1351
Mailing Address - Street 2:
Mailing Address - City:TACNA
Mailing Address - State:AZ
Mailing Address - Zip Code:85352-0198
Mailing Address - Country:US
Mailing Address - Phone:913-702-5579
Mailing Address - Fax:
Practice Address - Street 1:1100 S MAIN ST STE 113
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-2921
Practice Address - Country:US
Practice Address - Phone:575-294-5724
Practice Address - Fax:575-259-5088
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ237682363LP0808X, 363LF0000X
NMCNP01476363LP0808X, 363L00000X
TX668125363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX201244505Medicaid
TX201244505Medicaid