Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Miconi-Correa, FNP

Individual provider Family Nurse Practitioner · NPI 1376830414

Lisa Miconi-Correa, FNP is a Nurse Practitioner in Ogden, Utah. Qualified in 2011, 15 years ago. Practices with Ogden Clinic PC, a 106-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
15
Licensed in
UT
In the registry since
2011
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

5740 Crestwood Dr
Ogden, UT 84405-4869
Phone: (801) 479-7771
Fax: (801) 479-7795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 200854-4408 (UT)

Record details

NPI number1376830414
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 8, 2011
Last updated in NPPESJanuary 18, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ogden Clinic Pc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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