Active NPI
Lesa Renee Nobiling
- Vehicle Modifications Contractor
- Lake City, IA
National Provider Identifier
1003033382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vehicle Modifications Contractor
- Practice address
- 3245 Fletcher Ave
Lake City, IA 51449-7561 - Phone
- (712) 464-7279
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | |||
| Vehicle Modifications Contractor | 171WV0202X | Primary |
Addresses
Primary practice location
3245 Fletcher Ave
Lake City, IA 51449-7561
Mailing address
3245 Fletcher Ave
Lake City, IA 51449-7561
Phone (712) 464-7279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0427302 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1003033382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 FLETCHER AVE",
"city": "LAKE CITY",
"state": "IA",
"postal_code": "514497561",
"telephone_number": "712-464-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3245 FLETCHER AVE",
"city": "LAKE CITY",
"state": "IA",
"postal_code": "514497561",
"telephone_number": "712-464-7279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBILING",
"first_name": "LESA",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": false
},
{
"code": "171WV0202X",
"taxonomy_group": "",
"desc": "Contractor, Vehicle Modifications",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0427302",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.