Active NPI
Lisa Marie-Mausbach Bailey, DVM
- Clinic/Center
- Wheat Ridge, CO
National Provider Identifier
1013471580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 6753
- Practice address
- 10474 W 38TH Ave
Wheat Ridge, CO 80033-4010 - Phone
- (720) 456-6599
- NPI assigned
- Jan 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 6753 | CO | Primary |
Addresses
Primary practice location
10474 W 38TH Ave
Wheat Ridge, CO 80033-4010
Mailing address
16760 W 60TH Dr
Arvada, CO 80403-2602
Phone (720) 290-4574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6753 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES |
Other names 1
- Dr. Lisa Mausbach
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": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1013471580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16760 W 60TH DR",
"city": "ARVADA",
"state": "CO",
"postal_code": "804032602",
"telephone_number": "720-290-4574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10474 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334010",
"telephone_number": "720-456-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "LISA",
"middle_name": "MARIE-MAUSBACH",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CO",
"license": "6753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
"identifier": "6753",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "MAUSBACH",
"prefix": "DR.",
"credential": "DVM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.