Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Jill Vandiemen, FNP

Individual provider Family Nurse Practitioner · NPI 1396041885

Lisa Jill Vandiemen, FNP is a Nurse Practitioner in Longview, Texas. Qualified in 2010, 16 years ago. Practices with Special Health Resources for Texas, Incorporated, a 14-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

615 Clinic Dr
Longview, TX 75605-5172
Phone: (903) 571-4656
Fax: (903) 881-1994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP119904 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 684452 (TX)

Record details

NPI number1396041885
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedFebruary 1, 2011
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Special Health Resources For Texas, Incorporated — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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