Lisa M Hebl, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9526 Issued in MN

Practice address

6351 E Superior St
Duluth, MN 55804-2545

Phone

(218) 249-4500

Fax

(218) 249-4555

NPI assigned

Aug 16, 2005

Last updated

Dec 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northland Family Physicians, LTD.

  • Family Medicine Physician
  • Duluth, MN
  • NPI 1417949520
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1003808023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6351 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042545",
            "telephone_number": "218-249-4500",
            "fax_number": "218-249-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042545",
            "telephone_number": "218-249-4500",
            "fax_number": "218-249-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBL",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9526",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "9526",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970018168",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104337400",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@slk.direct.slhduluth.com",
            "affiliation": "N",
            "address_1": "6351 E Superior St",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558042545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heartland Homes of Duluth LLC
• Aaron Toshi Heaslet, PA-C
• Allison Marie Heaslet, PA-C
• Christina Ann Heazlett, MSW, LICSW
• Christopher Wayne Hebert, IDMT, HS
• Christopher F. Heck, MD
• Douglas Gene Heck, PHD
• Chelsey Heddens, OTR
• Gary James Hedin, DDS
• Jerrod Tyler Heermans, M.D.

• Physician Assistant in Duluth, MN
• Providers in Duluth, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.