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

Mrs. Lisa M Park, FNP

Individual provider Family Nurse Practitioner · NPI 1881950533

Mrs. Lisa M Park, FNP is a Nurse Practitioner in Leawood, Kansas. Qualified in 2010, 16 years ago. Practices with Minuteclinic Diagnostic of Kansas PA, a 139-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
16
Licensed in
KS
In the registry since
2012
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11729 Roe Ave
Leawood, KS 66211-2605
Phone: (913) 345-8404
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-75279-101 (KS)

Record details

NPI number1881950533
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedApril 6, 2012
Last updated in NPPESApril 6, 2012

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 Minuteclinic Diagnostic Of Kansas Pa — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Leawood