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

Lisa Kneedler, RNC, NNP

Individual provider Critical Care Neonatal Nurse Practitioner · NPI 1063578003

Lisa Kneedler, RNC, NNP is a Nurse Practitioner in Ft Worth, Texas. Graduated from Baylor College of Medicine in 2006, 20 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
20
Trained at
Baylor College of Medicine
Licensed in
TX
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1301 Pennsylvania Ave
Ft Worth, TX 76104-2122
Phone: (817) 250-2892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 680269 (TX)
Critical Care Neonatal Nurse Practitioner Taxonomy 363LN0005X · Licence 680269 (TX)

Record details

NPI number1063578003
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNC , NNP
Sole proprietorNo
NPI enumeratedDecember 27, 2006
Last updated in NPPESMarch 27, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount