Active NPI
Lisa Dennis, RPA/RA (CBRPA)
- Radiology Practitioner Assistant
- Mesa, AZ
National Provider Identifier
1003254897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- 13AZ1474
- Practice address
- 1457 W Southern Ave Ste 26
Mesa, AZ 85202-4862 - Phone
- (480) 374-7354
- Fax
- (480) 371-1121
- NPI assigned
- Jun 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | 13AZ1474 | AZ | Primary |
Addresses
Primary practice location
1457 W Southern Ave Ste 26
Mesa, AZ 85202-4862
Mailing address
PO Box 64568
Phoenix, AZ 85082-4568
Phone (480) 421-9700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13AZ1474 | AZ | MD | Radiology Practitioner Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1003254897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64568",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850824568",
"telephone_number": "480-421-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1457 W SOUTHERN AVE STE 26",
"city": "MESA",
"state": "AZ",
"postal_code": "852024862",
"telephone_number": "480-374-7354",
"fax_number": "480-371-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "LISA",
"credential": "RPA/RA (CBRPA)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-13",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "AZ",
"license": "13AZ1474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- Denise a. Murray, LLC
- Theresa Ann Denison, PA
- Starrisha Monet Denman, LPC, NCC
- Cami Teresa Camille Denning, FNP-BC
- Dennis L Armstrong MD PC
- Sarah Denny, FNP-BC
- Denova Collaborative Health, LLC (Denova Collaborative Health)
- Dental and Braces Mesa LLC
- Dental Care of Mesa LLC
- Dental Center of Mesa PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.