Lisa Shallis, CRNP
NPI 1679049597 · Women's Health Nurse Practitioner · Newark, DE
Provider details
- NPI number
- 1679049597
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- LH-0010276 (DE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 175 Martin Ave Ste 105Ephrata, PA 17522-1761Phone: (866) 244-3492Fax: (717) 859-5637
- 845 Helen Dr Ste 200Lebanon, PA 17042-7493Phone: (866) 244-3492Fax: (717) 859-5637
- 35 Monument Rd Ste 202York, PA 17403-5074Phone: (717) 851-2722Fax: (717) 851-3127
Registry dates
- Enumerated
- 2018-10-18
- Last updated
- 2026-04-01
- Certified
- 2026-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.